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Information about Texas Child Day Care Provider licensing and regulation.

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.

Texas local intellectual and developmental disability authorities (LIDDAs) provider information.

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

IL 2023-06 is posted on the HHS webpage for Home and Community-based Services (HCS), Texas Home Living (TxHmL), local intellectual and developmental disability authorities, and financial management services agency program providers.

IL 2023-07 is posted to the HHS DBMD, LIDDA, HCS and TxHmL

The purpose of this letter is to provide guidance to local intellectual and developmental disability authorities (LIDDAs) and Home and Community-based Services (HCS) Program providers regarding implementation of the federal Home and Community Based Services (HCBS) settings regulations.

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 will submit a final Statewide Transition Plan (STP) to the Centers for Medicare and Medicaid Services (CMS). The STP is posted for public comment.

IL 2023-03 is posted to the HHS site for HCS, TxHmL, LIDDA, FMSA and EVV.

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.

In response to questions and concerns related to the processing of Individual Plan of Care (IPC) forms, HHSC is clarifying required actions by submitters and how they parallel to processes in the Intellectual Disability (ID) Client Assignment and Registration System (CARE).

Home and Community-based Services and Texas Home Living waiver program providers that enrolled through the Texas Medicaid and Healthcare Partnership Provider Enrollment and Management System will be subject to a preenrollment site visit from TMHP.