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IDD Program Eligibility & Support has both advisors and reviewers. Reviewers can help with level of care determinations.

The term "negotiated rulemaking" specifies a particular process to be used to draft a proposed rule. This process provides for a group of 12-15 stakeholders who represent differing interests affected by the proposed rule to negotiate and potentially reach agreement on a proposed rule.

Information about how to become a CDS provider in Texas.

Information about permanency planning for children.

Information for Consumer Directed Services (CDS) providers in Texas.

Texas local intellectual and developmental disability authorities (LIDDAs) provider information.

CDS Program Handbooks and Forms

Advance care planning means planning ahead for how you want to be treated if you are very ill or near death. This page provides information about that process for both providers and consumers.

Information about the licensing and regulation of nursing facilities (NFs) in Texas.

Information about the licensing and regulation of assisted living facilities (ALFs) in Texas.

Licensing and regulation information for Home and Community-based Services (HCS) program providers in Texas.

Long-Term Care Regulation staff and program providers are invited to attend the Regional Offsite Review Process for Critical Incidents Reported into the Critical Incident Management System for HCS/TxHmL training webinar.

The Texas Medicaid & Healthcare Partnership (TMHP) has published the 2025 Proprietary System Operator (PSO) Operational Readiness Review (ORR) onboarding schedule and the new PSO Onboarding Standard Process Overview and Timeline (PDF) to the TMHP EVV webpage.

Home and Community-based Services and Texas Home Living stakeholders can now comment on the proposed revisions to the HCS and TxHmL Billing Requirements by 5 p.m. on Dec. 16.