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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.

Information for Texas Emergency Response Services providers.

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.

HHSC will be providing education on how to complete the Employment First Discovery Tool related to Senate Bill 50, 87th Legislature, Regular Session, 2021.

HHSC has adopted new program rules in the Texas Administrative Code, Title 26, Part 1, Chapter 284, effective Nov. 14, 2023.

HHSC has posted the notice “Electronic Visit Verification (EVV) Transition: You Must Take Action Now!” (PDF) for program providers, financial management services agencies (FMSAs) and Consumer Directed Services (CDS) employers to review.

HHSC is submitting 29 Acres, an intentional community setting, to the federal Centers for Medicare & Medicaid Services (CMS) for heightened scrutiny review.

HHSC reminds HCS program providers that HHSC, with the assistance of Texas Medicaid & Healthcare Partnership (TMHP), is conducting on-site assessments of 3-person residences, 4-person residences, and Host Home/Companion Care (HH/CC) settings to ensure compliance with the federal HCBS Settings Rule.

HHSC has posted the state’s HCBS Settings Rule final Statewide Transition Plan (STP) for public comment. Notice of the STP was published in the Jan. 13, 2023 edition of the Texas Register. However, due to errors in the publication, a revised notice regarding the STP is expected to be published in the Jan. 27, 2023 edition of the Texas Register.

HHSC reminds HCS program providers that HHSC, with the assistance of TMHP, is conducting on-site assessments of 3-person residences, 4-person residences, and HH/CC settings to ensure compliance with the federal HCBS Settings Rule.

Cures Act Home Health Care Services: EVV Services Updates and Service Bill Codes Table Now Available

IL 2022-52 is posted on the HHS site CLASS, DBMD, HCS, TxHml, STAR Kids, STAR+Plus HCBS, STAR+MDCP and CDS.