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HHSC has received federal approval of a waiver that allows the state to expand Medicaid managed care while preserving hospital funding, provides incentive payments for health care improvements and directs more funding to hospitals that serve large numbers of uninsured patients.

The Texas Administrative Code (TAC) is a compilation of all state agency rules in Texas. There are 16 titles in the TAC; each title represents a category and related agencies are assigned to the appropriate title.

A statute is a written law passed by a legislature on the state or federal level. A statute may forbid a certain act, direct a certain act, make a declaration, or set forth governmental mechanisms to aid society.

HHS agencies and divisions must protect client confidential information and respond appropriately to suspected or actual breaches.  

If you received Medicaid long-term services and supports, the state of Texas has the right to ask for money back from your estate after you die. In some cases, the state may not ask for anything back, and the state will never ask for more money back than it paid for your services. The program is administered by HHS.

It is the responsibility of each intermediate care facility (ICF/IID) community program provider to submit the required forms and supporting documentation to the Surrogate Decision-making Program (SDMP) when a person they serve lacks the capacity to make certain treatment decisions for himself or herself and has no legal guardian or surrogate decision-maker.

Find answers to frequently asked questions about the Medicaid Estate Recovery Program here.

The Surrogate Decision-making Program (SDMP) is a legislatively mandated process which authorizes actively involved family members and committees comprised of trained volunteers to provide written informed consent for individuals residing in community-based ICF/IID who have no legal guardian and who lack the ability to make certain treatment decisions for themselves.

The NVRA of 1993 requires HHS to ensure that individuals applying for or receiving aging/disability services are offered the opportunity to register to vote. 

This page contains an overview of and resources for the Texas 1115 Transformation Waiver, which provides the federal authority for operations of most of the state’s Medicaid managed care programs. It is currently approved through September 30, 2022.