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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.

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

This page lists CLASS Provider Webinars presented by HHSC.

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 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. 

Information for Texas Family Care Providers

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.

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.

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.