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Review the list of required forms that must be submitted for each Long-term Care contract application.

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.

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.

Electronic Visit Verification 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.

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 providers.

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.