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The purpose of this letter is to provide guidance to local intellectual and developmental disability authorities (LIDDAs) and Home and Community-based Services (HCS) Program providers regarding implementation of the federal Home and Community Based Services (HCBS) settings regulations.

Long-Term Care Regulation staff and program providers are invited to attend the following trainings hosted in February. Please verify if registering for a webinar or in-person class.

IL 2023-04 is posted to the HHS site DBMD.

IL 2023-03 is posted to the HHS site for HCS, TxHmL, LIDDA, FMSA and EVV.

HHSC approved payment rates for the Individualized Skills and Socialization in the DBMD waiver, HCS, and TxHmL programs, effective Jan. 1, 2023.

Effective Jan. 1, 2023, HHSC adopts new Individualized Skills and Socialization rules for the HCS, TxHmL and DBMD Programs.

Long-Term Care Regulation staff and program providers are invited to attend the following trainings hosted in January.

The Department of State Health Services (DSHS) has released a Spanish version of the current Out-of-Hospital Do-Not-Resuscitate (OOH DNR) order.

HHSC published an alert on Dec. 21, 2022, informing long-term care providers that expedited delivery is available for a limited time for personal protective equipment through the Texas Division of Emergency Management.

This alert informs Long-term Care (LTC) providers that expedited delivery is available for a limited time for personal protective equipment through the Texas Division of Emergency Management.

Long-term Care providers are invited to complete a short survey about alternative or after-hours Joint Training opportunities.

In response to questions and concerns related to the processing of Individual Plan of Care (IPC) forms, HHSC is clarifying required actions by submitters and how they parallel to processes in the Intellectual Disability (ID) Client Assignment and Registration System (CARE).

Long-Term Care Regulation staff and program providers are invited to attend the following trainings hosted in December. Please verify if registering for a webinar or in-person class. If you register for an in-person class and cannot attend, please be sure to cancel your registration.

HHS has approved payment rates for the Individualized Skills and Socialization in the Deaf Blind with Multiple Disabilities waiver, Home and Community-based Services waiver, and Texas Home Living waiver programs, effective Jan. 1, 2023.

HHSC has published a revision to this guidance in IL 2022-55 In-Home Day Habilitation Information for Program Providers for COVID-19 (PDF). This replaces IL 2022-54.