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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.

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.

HHSC has settled a lawsuit that affects Texas Health Steps, Comprehensive Care Program-eligible children under 21 years of age. Read the Settlement Agreement.

HHS employees and contracted providers must follow state and federal rules and statutes when delivering services to eligible Texans. HHS also takes into account stakeholder input when new rules and policies are being written to ensure interested parties can contribute to the process.

HHS employees have a legal and ethical obligation to protect the rights of Texans who are eligible for services, to recover money as required by law, and to follow the terms of settlement agreements.

HHS has many handbooks, which outline the rules employees and contracted providers are held accountable for when providing services to eligible Texans. We provide these for all Texans to view as part of our effort to be transparent in service delivery.

HHS forms are used every day to perform tasks such as applying for benefits, contracting to provide goods or services, reporting incidents, declaring end of life wishes, and conducting other business.

This page contains links to the latest HHS legislative reports and presentations.