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Due to COVID-19 precautions, HHSC is taking protective measures for the public and HHSC staff. HHSC encourages contract applicants and current contractors for Long-term Care programs and services to submit contract applications and other contract information by email or fax

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.

Medicaid home and community-based services provide opportunities for people to receive long-term services and supports in their own home or community, rather than in an institution or isolated setting.

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.

Regulatory information for Texas Home Living Waiver (TxHmL) providers.

Electronic Visit Verification (EVV) is a computer-based system that verifies the occurrence of authorized personal attendant service visits by electronically documenting the precise time a service delivery visit begins and ends. Texas requires EVV for certain Medicaid funded home and community-based services provided through HHSC and MCOs.

HHSC sent a GovDelivery notice on Sept. 13 for the new and revised Electronic Visit Verification (EVV) alternative device policy. This notice is to correct what was previously posted.

To remain compliant with Electronic Visit Verification (EVV) requirements, program providers and financial management services agencies (FMSAs) transitioning to HHAeXchange or who have recently enrolled to provide personal care services (PCS), must complete onboarding and system user training before Oct. 1.

HHSC has posted the new and revised policies for alternative devices effective Oct. 1, 2023, that will be added to the Electronic Visit Verification (EVV) Policy Handbook in an upcoming handbook revision.

CDS Budget Workbooks have been updated and published to the CDS Forms and Handbooks webpage to reflect rate increases effective Sept. 1, 2023.

Texas Medicaid & Healthcare Partnership (TMHP) updated the Electronic Visit Verification Portal and posted a reminder to complete the required EVV portal training on Sept. 7.

Program providers, financial management services agencies, CDS employers, service attendants and CDS employees may continue using their current EVV systems, AuthentiCare (First Data) or Vesta (DataLogic) through Sept. 30, to record visits for personal care services.

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

Program providers and financial management services agencies who will use the new State EVV vendor, HHAeXchange, are allocated free alternative devices up to 7.5% of the program providers or FMSAs member census.