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The following documents must be submitted to the Health and Human Services Commission to support the Inventory for Client and Agency Planning ratings and increased supports and services being provided to a person in the Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions program, the Home and Community-based Services program or the Texas Home Living program that warrants an increased level of need due to extremely dangerous or life-threatening behavior.

The following documents must be submitted to the Health and Human Services Commission to support the Inventory for Client and Agency Planning ratings and increased services and supports for a person in the Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions Program or the Home and Community-based Services Program whose medical conditions require nursing interventions of 181 or more minutes per week. The level of need may be increased to the next higher level of need if supported by the documents.

Information for Community Living Assistance and Support Services (CLASS) program providers in Texas

Texas HHS maintains CLASS choice lists for applicants, individuals or legally authorized representatives to use when choosing a Case Management Agency and Direct Services Agency. The lists are maintained for each CLASS catchment area and are updated monthly or as needed. 

The Texas Health and Human Services Commission (HHSC) accepts applications from prospective providers through its open enrollment procurement process to contract for the Community Living Assistance and Support Services (CLASS) Medicaid waiver program. Under the open enrollment process, contracts are awarded on a noncompetitive basis to eligible applicants meeting the qualifications and other requirements established by HHS. There is no end date or dollar amount associated with the contracts awarded through this solicitation.

This page lists CLASS provider webinars presented by HHSC.

Texas Health and Human Services contracts with licensed agencies to provide personal assistance services to people who have physical disabilities who are mentally and emotionally competent and willing to supervise their attendant or have someone who can supervise the attendant for them. The individual interviews, selects, trains, supervises and releases their personal assistants. Health-related tasks are prescribed by physician.

Review past HCS and TxHmL webinars and frequently asked questions.

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

HHSC Long-Term Care Regulation is offering a Texas Minimum Data Set (MDS) Basics Webinar on Aug. 21 from 2–3 p.m. Central time.

The Quality Monitoring Program and The University of Texas at Austin School of Nursing are offering a free webinar for nurses and nursing facility administrators.

HHSC Joint Training is requesting feedback from providers about proposed trainings related to Long-term Care Regulations.

The Texas Health and Human Services Commission and The University of Texas at Austin School of Nursing are pleased to announce a collaborative effort to improve long-term care in Texas.

The 2025 Quality in Long-Term Care Conference will be held at the Renaissance Austin Hotel on Aug. 27–28.

Performing routine maintenance on heating, ventilation and air-conditioning (HVAC) equipment and systems ensures nursing facilities can maintain specified indoor air temperatures for resident safety and comfort as outdoor temperatures rise in the summer.