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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 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.

Review past HCS and TxHmL webinars and frequently asked questions.

Provider frequently asked questions regarding PASSR in Texas nursing facilities.

PASRR frequently asked questions and their answers for referrring entities.

Forms and related information required for business operations of AAAs in Texas.

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.

Intellectual Disability and Related Condition frequently asked questions and their answers.

Home Delivered Meals provides nutritious noontime meals delivered to people in their homes on a scheduled basis. Meals may also be delivered to a location other than an individual's home, provided the location is within the provider's service area and is approved by the case worker. Those eligible for HDM are aged 18 years or older. An interest list is maintained for people interested in applying for this program. This page contains information for HDM providers.

Resources and training for ICF/IID providers.

These are the PASRR training resources available.

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.

Long-Term Care Regulation staff and program providers are invited to attend the following in-person classes hosted in December.

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

Trainings on the Outcome Assessment Information Set will be offered throughout December.

To enhance program integrity, the Texas Health and Human Services Commission is reducing the use of alternative devices as an approved method to clock in and clock out of for Electronic Visit Verification required services.