HCS/TxHmL Interest List Slot Release Plan
February 16th, 2026 Interest List Slot Release #’s by HHSC These are only numbers for HCS & TxHmL. Accurate numbers for DBMD, CLASS, DCP and Star+Waiver will be released at a later date in communications to providers. HCS: For the remainder of this fiscal year 105 slots (15/month) will be released. This means many LIDDAS will receive no slots while some may receive only 1 or 2 and some may receive 5 or 6. The above slot release figure was based on...Assistance With Medicaid Renewal & Eligibility Issues
February 15th, 2026 Medicaid Eligibility Escalation Routes: Here is a contact list dated January 30, 2026 for assistance with Medicaid Eligibility Issues that need escalation. Please click on this document with 3 separate contacts per region for initiating resolution to Medicaid Eligibility-related matters. Please use these before contacting Rachel Patton, HHSC (Rachel.Patton@hhs.texas.gov). You may also call your provider association for further help: (PPAT,...DAHS Provider Manual Revision
February 14th, 2026 The Day Activity and Health Services (DAHS) Provider Manual Revision 26-1 aligns Health and Human Services Commission policy related to its Office of Inspector General. This revision is effective Feb. 10, 2026. Review the updates linked here. The changes specifically relate to “Fraud Referral”. OIG will be ramping up their investigations of possible fraud as some of you may know. These changes align policy with Health and Human...ICF/IID Updates
February 14th, 2026 ICF Abuse, Neglect, and Exploitation Poster Revised HHSC LTCR has updated the Abuse, Neglect, and Exploitation (ANE) Poster for the Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions program (ICF/IID). The poster was updated to include the TUILP link for reporting ANE. New posters will be mailed out to all licensed ICFs and State Supported Living Center providers. The new posters are posted...LTCOP HCS/ TxHmL IPC Revision Submission Updates As of Feb. 20th, 2026
February 13th, 2026 Coming Soon! On February 20, 2026, the Texas Medicaid & Healthcare Partnership (TMHP) will update the Long-Term Care Online Portal (LTCOP) to streamline the Revision Individual Plan of Care (IPC) process for the Home and Community-based Services (HCS) and Texas Home Living (TxHmL) programs. This enhancement combines Revision IPC forms with Individual Movement Tracking (IMT)-Individual Update forms in some scenarios, enabling users to submit...STEPS: 2026-Update
February 11th, 2026 System Remedies Implemented for STEPS & Guidance Issued for Users (HHSC) is aware that some users of the new State of Texas Electronic Provider System (STEPS) have experienced difficulty viewing all of their associated entities. The two issues that were resolved successfully were related to: 1. Data for the Primary Entity Contacts (PECs) 2. The inability to access the reporting tool to complete Executive Order 46 (EO 46) reporting that...The New HHSC Learning Tree Portal For On-Line Joint Provider Training Opportunities
February 3rd, 2026 Joint Provider On-Line Training Opportunities 2026 Joint training opportunities are now offered on the new portal that HHSC has developed. This portal offers online training opportunities (videos) and an easy way to track training that providers have taken. “Learning Tree Portal” To register to use the portal, please go to this link See “Learning Tree Portal FAQ’s” for more information To see a video about the new...Cost Reporting Update!
Cost Report/Accountability Reports February 2nd, 2026 State Fiscal Year 2025 Cost Report Training Information From HHSC HHSC announces the publication of Information Letter (IL) 2026-02 regarding the state fiscal year 2025 Cost Report trainings for Long-term Services and Supports (LTSS) Medicaid and Non-Medicaid cost reports. With the transition to the State of Texas Electronic Provider System (STEPS), HHSC is transitioning from hosting webinars to...Telehealth Info Update for CLASS/DBMD/HCS/TxHmL: IL 2026-01
February 2nd, 2026 Information Letter No. 2026-01 Published: Telehealth Guidance CLASS/DBMD/HCS/TxHmL HHSC has published IL No. 2026-01 on January 14, 2026. This letter provides guidance to CLASS, DBMD, HCS, and TxHmL providers regarding certain services that can be delivered using videoconferencing or synchronous audio-visual technology to ensure the rights, health, safety, and welfare of a person receiving services are maintained. In addition to current...LTCR In-Person Provider Trainings (HCS/TxHmL)
February 2nd, 2026 FEBRUARY SCHEDULE If you register for a class and can’t attend, please cancel your registration as soon as possible. HCS/TXHML Register here for any of the following Home and Community Support Services Agencies Joint Training Opportunities. Writing Acceptable Plans of Correction for HCS and TxHmL Providers Tuesday, Feb. 24 9:30 a.m. to 4 p.m. Arlington, TX Writing Acceptable Plans of Correction for HCS and TxHmL Providers Thursday, Feb. 26...EVV (Electronic Visit Verification) Updates
February 1st, 2026 The EVV Policy Handbook Revision The Electronic Visit Verification (EVV) Policy Handbook, revision 26-1, adds new alternative device compliance policies and makes other miscellaneous changes. This revision became effective Jan. 30, 2026. Review the updates linked here. December 22nd, 2025 EVV System Interruptions EVV Aggregator Visit Files Not Being Processed HHSC and the Texas Medicaid & Healthcare Partnership (TMHP) are aware of an issue...Joint Training From HHSC For Providers
Joint Training Page Available for HCS/TxHmL/ICF/ISS Providers The HCS and TxHmL programs now have a Joint Training Opportunities page where providers can register for upcoming classes. Class size will be limited to maximize participation, but classes will be offered regularly. Providers should check the page often for updates. There will be recordings of special presentations available for viewing on-demand later. February 3rd, 2026 Joint Provider On-Line Training...LTC Provider Bulletin Now Available
February 1st, 2026 The February 2026 Long-Term Care (LTC) Provider Bulletin has been published on the LTC homepage on TMHP.com. Visit the TMHP LTC homepage regularly for news, reminders, training opportunities, and other important program updates. For questions, see the Provider Resources section of the bulletin. November 10th, 2025 The November 2025 Long-Term Care (LTC) Provider Bulletin has been published on the LTC homepage on TMHP.com. Visit the TMHP LTC...Clarification of HH/CC & RSS/SL On-Site Inspections In Ch 565 of HCS TAC
January 30th, 2026 As of January 29th, 2026, I received clarification from HCS/TxHmL policy that the HCS provider no longer has to specifically provide the SC with a copy of the on-site inspection results within 5 days of inspection, according to Ch 565 TAC. This does apply to both RSS/SL (Group Homes) and HH/CC homes on-site inspections. Basically, my understanding is that there is no timeline, other than upon request. So you must maintain the inspection report...Clarification Concerning Assessment For Risk For Restraints: HCS Vs. TxHmL
January 26th, 2027 During the HCS/TxHmL PI Quarterly Webinar with LTCR on January 26th, 2027 the following clarification was made concerning Assessment For Risk For Restraints: Only pertains to HCS this rule 565.33 (a) in which all individuals should have an assessment for risk for restraints completed initially within 30 days of receiving services, with the physician’s involvement, and annually and revised, if necessary, thereafter updated by the physician,...TB Guidance Provider Letter 2026-02
January 22nd, 2026 HHSC LTCR Publishes Provider Letter 2026-02 Recommendations for Tuberculosis (TB) Screening LTCR has published PL 2026-02 regarding recommendations for tuberculosis (TB) screening. This provider letter provides guidance to Assisted Living Facility (ALF), Day Activity and Health Services (DAHS), DAHS with Individualized Skills and Socialization, and DAHS with Individualized Skills and Socialization Only facilities. This means this applies to the...HCS and TxHmL Quarterly Webinar Scheduled for February 18th, 2026
January 23rd, 2026 Program providers and other interested stakeholders can now register for the upcoming HCS and TxHmL quarterly webinar. HCS and TxHmL Quarterly Webinar HHSC will be providing ongoing opportunities for HCS and TxHmL providers and FMSAs to hear about recent program updates. February 18, 2026 10 a.m. – 12:00 p.m. Topics discussed will include: HCS/ TxHmL – 9/1/2025 Rate Change and IPC updates UR– Reductions and Denials, LON Increase...Winter Weather Emergency Resources & Considerations: Update
January 25th, 2026 As we are in the midst of extreme winter weather across the state, and we may be in for some more of the same right behind this freeze, please see the information from HHSC below: Long-Term Care Facility Winter and Extreme Freezing Weather Preparedness HHSC reminds long-term care facilities and agencies to review and update emergency plans for freezing temperatures and snow. Emergency plans for extreme weather should include the provider’s plan...Provider Investigations Update (HCS/TxHmL)
January 15th, 2025 HHSC received funding for 69 new positions to assist with these investigations, specifically to address the backlog of open cases. All newly employed persons are in various stages of training with some already having completed their training. The goal is to have all investigations for ‘pending intakes’ over 30 days completed by this fall. This may result in some providers receiving an increase in communications from PI. Note: The number of...ICAP Scoring Software Update
January 15th, 2026 ICAP Scoring Software: · The University of Minnesota has acquired the publishing rights to the ICAP from Riverside Publishing. The University intends to make ‘massive’ revisions to the ICAP which should be completed in the next 4 years. Currently, the University has made ‘technical’ changes to the instructions which it plans to test before moving forward with other changes. The University will also make the...IPC Renewals Submissions, Transfers, How To Submit IPC into LTCOP
December 31st, 2025 Now Effective: LTCOP HCS and TxHmL Transfer Form Submission Sequencing Enhancements On December 18, 2025, the Texas Medicaid & Healthcare Partnership (TMHP) released enhancements to the Long-Term Care Online Portal (LTCOP) that are designed to streamline the transfer process for the Home and Community-based Services (HCS) and Texas Home Living (TxHmL) waiver programs. These updates are now in effect for use by providers and local...IDD and PI Quarterly Webinar with HHSC LTCR (HCS & TxHmL Providers)
December 30th, 2025 January 27th, Register for HCS, TxHmL and PI Quarterly Webinar HHSC Long-term Care Regulation will host a webinar for HCS, TxHmL and PI providers regarding the latest information from LTCR. Jan. 27, 2026 10–11 a.m. Register for the webinar. Email LTCR Policy to request agenda items or for questions related to this webinar. October 5th, 2025 October 29th, IDD and PI Quarterly Webinar with HHSC LTCR HHSC Long-Term Care Regulation (LTCR)...Direct Care Careers Online Portal From HHSC: New Enhancements- Update
December 24th, 2025 New Renewal Requirements for the Direct Care Careers Platform Direct Care Careers (DCC) is a free online platform to connect people seeking work as personal care attendants with employers delivering home and community-based services. To ensure DCC candidates have access to current and active opportunities, all job posts on the DCC platform now require renewal every 90 days. We encourage employers to review their active job posts regularly to...Monthly Provider Demonstration Webinars For CIMS
December 24th, 2025 Critical Incident Management System (CIMS) Monthly Provider Demonstrations FEI Systems will host a monthly provider demonstration webinar on Jan. 13, 2026, from 10-11 a.m. Monthly provider demonstration webinars are offered to providers with access to the Critical Incident Management System (CIMS). The Health and Human Services Commission (HHSC) encourages providers to take advantage of these live training opportunities. This applies to:...Texas Flu Pre-Book Webinar-Jan 9th, 2026: Get Ready For Flu Season!
December 22nd, 2025 Texas Flu Pre-Book Webinar January 9th, 2026 Join the Texas Department of State Health Services (DSHS) for the Texas Vaccines for Children (TVFC) 2026–2027 Influenza Pre-Book Webinar. Register for the following date: January 9, 2026, from 11:00 a.m. to 12:30 p.m. Registration Link: https://attendee.gotowebinar.com/register/2301876423463217497 After registering, you will receive a confirmation email containing information about joining...ICF/IID UPL Supplemental Payment Program FFY 2026 Enrollment Update
December 14th, 2025 ICF/IID UPL Supplemental Payment Program: Enrollment Portal Update HHSC has updated the location of the enrollment portal for the federal fiscal year (FFY) 2026 Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions (ICF/IID) Upper Payment Limit (UPL) supplemental payment program. Enrollment for the FFY 2026 program year opened on Dec. 1, 2025, and will remain open until 11:59 p.m. Dec. 31, 2025....Form 8578 (Intellectual Disability or Related Conditions) IDRC Assessment Update- Effective Nov. 14, 2025
December 4th, 2025 Very Important: IDRC Form Updated Form used for: HCS/TxHml/ICF/CLASS/DBMD Form 8578 Intellectual Disability or Related Conditions Assessment and Instructions Update: An update to Form 8578 Intellectual Disability or Related Conditions Assessment and Instructions is now available. The effective date for the form and form instructions is the date of publication, Nov. 14, 2025. Click here for the new...LTCR Provider Webinar Training
December 4th, 2025 December 2025 LTCR Provider Webinar Training Opportunities Home and Community-Based Services and Texas Home Living Provider (HCS/TxHmL) Joint Training Webinars Plan of Removal for HCS/TxHmL Providers Tuesday, Dec. 16 2–3:30 p.m. Register here for the webinar. Medication Management for HCS/TxHmL Providers Monday, Dec. 22 1:30–3 p.m. Register here for the webinar. For more training opportunities, visit the Joint Training Course...National Influenza Vaccination Week 2025-Digital Toolkit
December 3rd, 2025 The Texas Department of State Health Services (DSHS) Immunization Section has announced the release of the National Influenza Vaccination Week (NIVW) 2025 Digital Toolkit. NIVW takes place each December and highlights the importance of flu vaccination during influenza season. This week-long observance reinforces that it is not too late for Texans to receive a flu vaccine and protect themselves, their families, and their communities. The NIVW...Dates Twogether Consulting Will Be Closed During The Holiday Season
November 18th, 2025 Holiday Season Availability: Twogether Consulting will be closed from November 25th, 2025-November 30th, 2025. We will be closed from December 17th, 2025-January 4th, 2026. You may email of course, and we will be checking it periodically, but we will not be taking on any new client projects or assignments these days, as no one will be available in the office. If you already have scheduled dates and projects with us during that time, we will...Tips Concerning Survey Expectations For HCS Providers
November 16th, 2025 HCS providers have been contacting Twogether Consulting about certain requirements and/or changes in what surveyors are asking for this year from HCS providers. Below are a few things you should make sure you have completed and/or corrected prior to your survey. I will try to update this as we receive feedback from providers, provider associations, and even HHSC staff. Here are some areas surveyors are focusing on: Smoke detectors: must be in...IDD-PASRR Handbook: Revision 25-1
November 16th, 2025 The IDD Preadmission Screening and Resident Review (IDD-PASRR) Handbook, revision 25-1, updates the handbook. This revision is effective Nov. 12, 2025. Review the updates linked here.CLASS and DBMD Quarterly Webinar on December 17th, 2025
November 16th, 2025 HHSC will be providing ongoing opportunities for CLASS and DBMD providers and FMSAs to hear about recent program updates. CLASS and DBMD Quarterly Webinar December 17, 2025 10 a.m. – 11:30 a.m. Topics discussed will include: CLASS – Training Module Updates, Adding AA to an IPC DBMD – Region 1 Update, SPT meetings PES – Submission standards for ID/RCs, IPC Pre and Enrollment Packets Fair Hearings – The appeals process with a loss of...Medical Care Advisory Committee: Concerning Rider 23
November 15th, 2025 On 11/13/2025 -Medical Care Advisory Committee had a meeting discussing Rider 23. You can access the recording of this meeting using the link below: https://www.hhs.texas.gov/about/live-archived-meetings Also, there is a PowerPoint and you can click on agenda item #9. PowerPoint from MCAC meeting STAIRS is moving to STEPS, the HHSC link below serves as a reminder as to how you can find the most current information about this upcoming change....HHSC Cross-Agency Employment Conference : Info For Those Who Could Not Attend
November 14th, 2025 If you were unable to attend the virtual conference, copies of the handouts can be found below Cross-Agency Employment Conference 2024 Program Handout PowerPoint Handout HHSC was not able to able to record the event nor did they allow time for Q&A. Questions, however, may be submitted to: employment_services_virtual_conference@hhs.texas.govRecordings of Previous DAHS and ISS Webinar with LTCR
November 11th, 2025 A recording of the October 30 DAHS and Individualized Skills and Socialization provider webinar with HHSC Long-term Care Regulation is now available. The presentation (PDF) is also available. Listen to the webinar recording. Email LTCR Policy for a transcript. May 4th, 2025 A recording of the April 24 DAHS and Individualized Skills and Socialization provider webinar with HHSC Long-term Care Regulation is now available. The presentation (PDF) is...IL 2025-25 Now Published- HHSC Rider 23
November 10th, 2025 HHSC Rider 23 from the 2026-2027 General Appropriations Act, Senate Bill 1, 89th Texas Legislature HHSC has published the Information Letter IL 2025-25 regarding the Rider 23: Texas Administrative Code Rule Amendments, Personal Attendant Base Wage Discontinuation, Rate Enhancement Discontinuation, Established Average Hourly Wage Assumed in Methodology, and Established Direct Care Wage and Benefits Expense Ratio, effective September 1, 2025....IDD and PI Quarterly Webinar-LTCR Recording Available – October 29
November 7th, 2025 The October 29th recording of the IDD Programs and Provider Investigations Quarterly Webinar with Long-term Care Regulation is now available. Listen to the webinar recording. Read the IDD and PI Quarterly Webinar PDF Email LTCR Policy for the transcript.Where To Find Medicaid Eligibility Information for LTC Providers: TexMedConnect
October 28th, 2025 Medicaid Eligibility Reports – SSI Medicaid HHSC has been working on enhancements to improve awareness and visibility of the Medicaid recertification date to increase timely submission. HHSC announced that be making changes to the current training video on this subject and will release info about this in the near future. Current video on this topic (updated 7 months ago) is available at:...Upcoming Webinars Presented By Consolidated Planning Group
October 28th, 2025 Click On The Webinar Name Below To Register For Upcoming Webinars From Consolidated Planning Group November 4, 2025 12:00p – 1:00p Webinar Educational Options After High School for Special Needs Families – Plus Bonus Content About The New Texas Education Savings Account! November 6, 2025 12:00p – 1:00p Webinar 4 Things You Need to Know About Protecting Your Child With Special Needs with Special Needs Attorney Michele...SNAPS Status Update: Beginning Nov. 1st, 2025
October 28th, 2025 November SNAP Benefits & Information Resources Due to the current federal government shutdown, there will be insufficient funds to pay SNAP benefits for November. For Texas and the millions of Texans who will be affected, and more specifically, the individuals in the Texas HCS and TxHmL programs who receive SNAP benefits, as well as possibly many of your own staff that you may employ, we want you to know the following: The three IDD...OIG Audits & Inspections: Update
October 28th, 2025 OIG Beginning Auditing of Cost Reports If you attended the Office of Inspector General (OIG) session at PPAT’s 28th Annual Conference you may recall Susan Biles, OIG, stating that the OIG’s FY 2026 Work Plan would include auditing HCS/TxHmL cost reports. We have received updated information since their presentation at PPAT, as a result of some of the inquiries during the session. Some providers have already began receiving requests...Rider 56: Appropriate Care Settings for Individuals with Severe and Persistent Mental Illness and Co-Occurring Conditions Study
October 27th, 2025 HHSC Rider 56 (89th Texas Legislature): According to HHSC, it’s in the beginning stages of implementation but plans to engage stakeholders in the process in early January as well as publish a communication about the Rider and related implementation plans. Rider 56: Appropriate Care Settings for Individuals with Severe and Persistent Mental Illness and Co-Occurring Conditions Study. Out of funds appropriated in Strategy D.2.5, Community...Cameras In Private Areas (HCS Program): Update
October 23rd, 2025 HCS Program & Cameras in Private Areas: HHSC Medicaid division sent Regulatory staff at HHSC an email informing them that “CMS thinks there’s a privacy concern regarding cameras being allowed in private areas (even if justifications are in place), and that CMS will no longer permit this practice.” According to HHSC, currently, there are no HCS rules specific to this matter. HHSC stated that more details will be...Change in IDD Waiver Cost Limits
October 23rd, 2025 New cost limits for the IDD waivers are as follows: For DBMD and CLASS, HHSC updated the individual cost limits from $114,736.07 to $149,774. For TxHmL, HHSC updated the individual cost limit from: $17,000 to $31,684. For HCS, HHSC updated the individual cost limit based on level of need (LON) as described below: Intermittent (LON 1), Limited (LON 5), and Extensive (LON 8) The amount is increasing from $167,468 to $169,182. Pervasive (LON 6) The...PEMS Streamlining Process For TMHP Enrollment
October 22nd, 2025 PEMS Update: HHSC and TMHP have been working on changes to the Provider Enrollment and Management System (PEMS) process in conjunction with a workgroup comprised of external stakeholders which cross all Medicaid programs subject to this federal requirement. Though not all changes can be made at once, HHSC will soon begin making incremental changes. HHSC/TMHP will test changes with volunteer representatives before initiating permanent changes....ANE Investigations Backlog Issue: HHSC Rider 164
October 22nd, 2025 There has been and still currently is a big backlog of ANE Investigations: Currently, over 3,000 ANE intakes in the HCS program are pending investigations. The 89th Texas Legislature appropriated one-time funds for HHSC to hire 31 staff to investigate and close these cases. See excerpt from HHSC Rider 164 below. Is there a point of contact that providers can reach out to check on the status of an open case and how they can obtain a final...AAIDD: Texas Chapter Annual 49th Convention (Sept. 30th-Oct. 3rd, 2025) Post Convention Update
October 14th, 2025 Post Convention Report This year’s AAIDD-Texas Chapter 49th Annual Convention was on Sept. 30th-Oct. 3rd, 2025, and we had a wonderful turnout. As you may or may not know, this is my first year on the board, and it was an awesome experience. I know there were some providers, LIDDA’s, and individuals who just didn’t have funding to come this year or possibly the timing was just not right, and we thank all of you who could make...Phishing Alert: Emails From “Fake” HHSC Email Addresses
October 12th, 2025 DO NOT CLICK FILES, LINKS, OR FWD! The Texas Health and Human Services Commission has identified an active phishing attempt. The message may appear to come from a trusted colleague, sender, or HHSC email address and often includes links, meeting invites, or file attachments that appear to be legitimate. If you receive an unexpected or suspicious email, don’t click on the links, open the attachments, or accept the invite. HHSC is actively...TULIP: Unavailable Oct. 31st-Nov, 3rd, 2025!
October 6th, 2025 TULIP System Updates PLEASE BE ADVISED THAT HHSC WILL BE PERFORMING SYSTEM UPDATES TO TULIP. Don’t forget all EMR checks (Misconduct & Nurses Aids checks) are done through TULIP for HCS/TxHmL/ISS Providers TULIP will be unavailable from October 31st, 2025 @ 5:00pm to November 3, 2025 @ 8:00am. These updates are necessary to improve system performance and reliability. More details on issues like password reset will be sent out as...Employment First/Employment Services LIVE In-Person Trainings (Oct.-Dec. 2025)
October 5th, 2025 Texas Human Services Commission (HHSC) will be hosting free in-person Employment First/Employment Services trainings across the state from October to December 2025. What: Employment First/Employment Services Training Where: Wichita Falls, San Angelo, Weslaco, Lufkin, Sugar Land, and San Antonio When: Various dates from October to December 2025 Time: 9 a.m. to 4 p.m. CST Register: Select your session and register now. Space is limited to 50...DAHS and Individualized Skills and Socialization Provider Webinar with HHSC LTCR:: October 30th, 2025
October 5th, 2025 HHSC Long-term Care Regulation will host a webinar for Day Activity and Health Services (DAHS) and Individualized Skills and Socialization providers Date: October 30, 2025 Time: 11 a.m. to noon. Place: Webinar DAHS and Individualized Skills and Socialization providers should attend this and all webinars with HHSC LTCR. LTCR will provide the latest updates and answer questions from participants. Register for the...Cross Agency Employment Conference – Thursday, November 13
October 3rd, 2025 Save the date for the second annual Cross Agency Employment Conference on Thursday, November 13, 2025. What: Cross Agency Employment Conference When: Thursday, November 13, 2025 Where: Online Registration: Registration will open in mid-October. More Information The Cross Agency Employment Conference will feature presenters from Texas HHS, the Texas Workforce Commission, and the Texas Education Agency. The conference is open to agency staff, job...HHSC Webinar: Advances in Trauma Informed Care- Oct. 10th, 2025
Oct 3rd, 2025 HHSC is hosting a free webinar on World Mental Health Day, Friday, October 10, 2025, from 9:30 a.m. to 11 a.m. CST. What: Webinar on Advances in Trauma Informed Care When: Friday, October 10, 2025, 9:30 a.m. to 11 a.m. CST Register Now: Register for the webinar. Trauma is not just an event, it’s an experience that disrupts a person’s sense of safety, stability, and connection. It can alter brain development, behavior, and emotional regulation. For...Payment Rates For Attendants-Information Letter 2025-24
September 19th, 2025 The link for IL-2-25-24 is: https://www.hhs.texas.gov/sites/default/files/documents/il2025-24.pdf This IL replaces; i.e., IL 2025-17, and it does provide links to the Information Letters HHSC has previously posted regarding IPC and ISP changes in the HCS, TxHmL, CLASS and DBMD programs. Based on questions many providers have asked about the wage rate, please note the statement on page 1 that states Rider 23 increases attendant wages to an...PPAT Fall Conference For September 24th-26th, 2025
September 17th, 2025 HHSC issued a 3rd notice on changes to the employability status search process and PPAT has received alot of concerned phone calls from providers concerning this new process. PPAT contacted HHSC and requested they conduct a session at PPAT’s conference next week: to review the new system with providers, inform them which functions are not yet operable, explain surveyor expectations of providers during this time of transition and answer...Employability Status Check Changes For All LTCR Providers
September 17th, 2025 Employability Status Check Changes As Of September 7th, 2025 HHSC recently moved the Employability Status Check search to the Texas Unified Licensure Information Portal (TULIP). FYI-An issue was found by HHSC, during the transition process, with the Employability Status Check data retrieval process, which is causing some difficulty for providers conducting due diligence searches. HHSC is working diligently to resolve the problem.. Providers...ISS Updates & New Rules (HCS/TxHmL)
September 11th, 2025 Employability Status Check (Nurse’s Aide/Misconduct Registry) Update As of Sept. 11th, 2025 HHSC has moved the Employability Status Check search to the Texas Unified Licensure Information Portal (TULIP). During this transition, Regulatory staff identified an issue with the Employability Status Check data retrieval process that is causing some difficulty for providers conducting due diligence searches. HHSC is hoping to resolve the issue...Reminder about New Long-Term Care Regulation Training Registration From HHSC
September 10th, 2025 “From HHSC” HHSC has announced that registering for Joint Training will be easier and more efficient through our new Learning Management System (LMS), Learning Tree. Long-Term Care Regulation (LTCR) Joint Training began using the LMS for training registration on Sept. 1, 2025. What is the Learning Tree LMS? A user-friendly online platform designed to enhance your learning experience. Centralizes course registration and access....Transition Support Teams: 8 LIDDA’s Provide These Resources
September 3rd, 2025 Individuals that reside in institutions such as a nursing facility, state-supported living center (SSLC), or intermediate care facilities, who have IDD often have many significant medical, psychiatric, and behavioral needs that create challenges to living successfully in the most integrated community setting. Serving individuals who transition or divert from these institutions often requires specialized staff, intensive training, and expertise...HHSC: HCS Amendment To Rates Effective Sept. 1, 2025-Update
August 30th, 2025 CMS has approved the 1915 (c) waiver amendments with an effective date of September 1, 2025. This means that the rates funded by Rider 23 and posted by HHSC on August 19, 2025 will be effective September 1, 2025. Copy of Information Letter 2025-17 and link to approved rates – https://www.hhs.texas.gov/sites/default/files/documents/il2025-17.pdf New Information Letters ILs): Please read these letters very carefully, especially if you...HCS Home Page, Provider Letters, Contacts and Resources (Update)
July 28th, 2025 Home and Community-based Services (HCS) HCS Home page Provider Letters/Provider Communications!!! Click here for news, information letters (ILs) & provider letters (PLs). To receive provider letters & communications for HCS/TxHmL/ICF/ISS or other HHSC programs, please go to GovDelivery signup from Granicus at: https://service.govdelivery.com/accounts/TXHHSC/subscriber/new Remember to only sign up for the alert letters and communications for...PAT (Provider Applicant Test)-Update 2025 (HCS/TxHmL)
July 22nd, 2025 From HHSC’s PAT FAQ’s as of Jan. 1st, 2023 “Frequently Asked Questions for Providers Applicant Training (PAT) for HCS/TXHML” -When is the Provider Applicant Training (PAT) and Test available? This training is available online at this time (training modules). The PAT Test itself is being revamped and is not available to take until September of 2025. If you are trying to apply for an HCS/TxHmL contract at this time, you will...Statewise Provides Free EVV Compliance Checklist For Texas
July 22, 2025 From our friends at Statewise: 7 essential steps to EVV compliance, as well as Pro Tips are provided in this free checklist from Statewise. “At Statewise, we’ve made it easier for providers like you to stay on top of your responsibilities with a free EVV Compliance Checklist—designed specifically for Texas Medicaid agencies.” Texas EVV Compliance Checklist Free For more info on Texas EVV from...Discontinuation of Attendant Compensation Rate Sept. 1st, 2025
July 22nd, 2025 Attendant Rate and Cost Limit Revisions Webinar on July 22 HHSC will be providing updates to Home and Community-based Services (HCS) and Texas Home Living (TxHmL) providers, and local intellectual and developmental disability authorities (LIDDAs) on the topic of attendant rate and cost limit revisions for the waivers. Attendant Rate and Cost Limit Revisions Webinar July 22, 2025 2–3 p.m. Register here for the webinar. Run a test of your computer’s...Discontinuation of the Attendant Compensation Rate Enhancement Program and Rate Increases for Attendant Services
June 30th, 2025 HHSC Publishes IL-2025-11 HHSC will propose increased rates for identified attendant services and discontinue the Attendant Compensation Rate Enhancement program, effective Sept. 1, 2025. These changes are pursuant to the 2026-27 General Appropriations Act, Senate Bill 1, 89th Legislature, Regular Session, 2025 (Article II, HHSC, Rider 23). HHSC has published Information Letter (IL) 25-11, Discontinuation of the Attendant Compensation Rate...Rate Packets Now Available: For HCS/TxHmL/ICF/CFC/HCBS-AMH Waivers
June 30th, 2025 Rate Packets Now Available The rate hearing packets were posted on the PFD website on June 23, 2025. The hearing is being conducted to receive public testimony on the proposed Medicaid Rates. Public Rate Hearing on July 16, 2025 The HHSC Provider Finance Department (PFD) Long Term Services and Support (LTSS) will hold its Public Rate Hearing on July 16, 2025, to address proposed rates for the following: Medicaid and Non-Medicaid Payment Rate...Twogether Consulting’s Satisfied Customer Page
June 26th, 2025 We would greatly appreciate a quote from any of our clients who would like to write up a short paragraph on how we may have helped your organization or any recommendations you have for others about our services at Twogether Consulting that you may have used over the years. We are also happy to accept updates to previous satisfied customer quotes that are currently posted on the site. Link to Satisfied Customers Page If you would like to send us a...Twogether Consulting Newsletter Library
Subscribe To The Twogether Consulting Mailing List! 2025 June 18th, 2025 June 2nd, 2025 May 16th, 2025 April 17th, 2025-correction/addendum April 15th, 2025 April 1st, 2025 March 17th, 2025 March 2nd, 2025 February 17th, 2025 February 3rd, 2025 January 17th, 2025 January 8th, 2025 2024 December 16th, 2024 December 3rd, 2024 November 16th, 2024 October 31st, 2024 October 15th, 2024 October 1st, 2024 September 17th, 2024 September 3rd, 2024 August 16th, 2024...TMP Merger With Cubhub: Rebranded as Statewise
June 26th, 2025 What Providers Need To Know “TMP has joined Cubhub as part of the Statewise family—but nothing’s changing for Texas providers. TMP remains your trusted platform for IDD services.” Important: What’s changing? Just the name of the platform (From TMP to Statewise). With the support of Cubhub, TMP will get stronger and gain improved features, but it will continue to serve as the primary platform for Texas-based IDD and personal care...ICF Provider 2024 Conference Recordings Available For Viewing
June 25th, 2025 In case you were not aware, and you missed last year’s conference, we wanted to make sure ICF providers knew they could still watch the sessions. Great For your Q’s, Administrators, and QA staff. HHSC Long Term Care Regulation has posted 4 recorded sessions from the 2024 ICF Conference “Embracing Change to Enhance Value” held Dec. 5, 2024. No CEs or certificates of attendance are offered for viewing these recorded sessions....iCareManager EHR System Information
June 25th, 2025 From iCareManager email received on June 25th, 2025 iCareManager Website “We are thrilled to introduce you to the innovative & efficient iCareManager All-In-One EHR Solution! Whether you connected with us at a conference or online, you’ve just taken the first step towards smarter, simpler, and more efficient IDD service delivery. To kick things off, we’re attaching our 2025 e-book. It will give you a complete overview of who we...Free IDD Provider Resource Webinar Series
Free Webinars!! All Recordings of Our Previous sessions of “Free IDD Provider Resource Webinars” are posted on our “Gotostage” Channel June 22nd, 2025 FREE WEBINAR: From Our “Free IDD Provider & Family Resource Webinar Series” Date: June 30th, 2025 Time: Noon to 1:00 pm Cost: FREE Registration Twogether Consulting is pleased to have Rachel Hopkins, Program Director of Healthcare Services at Molina HealthCare of Texas as...Registration is now open! Quality in Long-Term Care Conference-August 27th -28th, 2025 (Austin, Tx)
June 23rd, 2025 HHS, in collaboration with The University of Texas Steve Hicks School of Social Work, will host an informative two-day, free conference on quality in long-term care. The 2025 Quality in Long-Term Care Conference (QLTCC) will be held at the Renaissance Austin Hotel, Aug. 27-28, 2025. This year’s theme is “Blazing a Trail to Quality Improvement in Long-Term Care.” The QLTCC offers presentations from nationally and internationally recognized...New ICF Provider Training Available: Internal Investigations by Providers for ICFs-July 18th, 2025
June 23rd, 2025 HHSC Joint Training is presenting a new webinar for Intermediate Care Facility (ICF) providers on the internal investigation process for ICFs. This 1.5 hour webinar provides guidance for ICF providers on conducting a required internal investigation when notified of an incident. The first presentation of this training will be held July 18, 2025. Register for this training at HHS Provider Joint Training Opportunities.Register for Long-Term Care Webinars for Nurses & Nursing Facility Administrators: June 25th, 2025
June 22nd, 2025 The Quality Monitoring Program and The University of Texas at Austin School of Nursing are offering a free webinar for nurses and nursing facility administrators. “Diving into Enhanced Barrier Precautions for Nursing Facilities,” will be hosted by epidemiologist Annie Nutt on June 25 from noon to 1 p.m. Central time. The webinar aims to guide and improve the care of Texas residents using evidence-based best practices. Learning objectives will...TxHmL Amendment on Rates Effective Sept. 1, 2025
June 20th, 2025 HHSC Requests Comments on TxHmL Amendment Effective Sept. 1, 2025 HHSC is accepting comments on the amendment of the 1915(c) Texas Home Living Waiver. View the TxHmL amendment details. Through this amendment, HHSC updated the attendant rates and increased the TxHmL individual cost limit from: $17,000 to 50 percent of the annualized cost of care in an Intermediate Care Facility for Individuals with an Intellectual Disability or Related Condition...CLASS Program Updates
June 20th, 2025 HHSC Requests Comments on CLASS Amendment Effective Sept. 1, 2025 HHSC is accepting comments on the amendment of the 1915(c) Community Living Assistance and Support Services Waiver. View the CLASS amendment details. Through this amendment, HHSC updated the attendant rates and increased the CLASS individual cost limit from $114,736.07 to 210 percent of the annualized cost of care in an Intermediate Care Facilities for Individuals with an...Hurricane Season Training & Updating Emergency Preparedness Plans
June 1st, 2025 Hurricane Season – Ready or Not! Preparedness for HCS/TxHmL/ISS Tuesday, June 17 10–11:30 am Register Here Hurricane Season – Ready or Not! Preparedness for Intermediate Care Facilities Friday, June 20 10–11:30 a.m. Register here Click on the following links for more training opportunities: Joint Training HCSSA Training OASIS Training HCS and TxHmL Training Individualized Skills and Socialization Training May 18th, 2025 Planning For Flooding &...BEHAVIORAL SUPPORT SERVICES PROVIDER POLICY TRAINING
Behavioral Support Services HCS and TxHmL Behavioral Support Services Provider Policy Training (Has been mandated for HCS & TxHmL providers to ensure their contracted Behavioral Support Services providers to take since March 2015) This course informs service providers of behavioral support services in the HCS and TxHmL programs related to the provision of behavioral support services in those programs. All new behavior support service providers must complete...Ensure Medicaid Continues To Support Individuals With IDD
May 31st, 2025 Please help ensure Medicaid continues to support Individuals in Texas with IDD. More than ever, we need everyone to focus their efforts on contacting our U.S. Senate representatives. Call Senator John Cornyn (1-202-224-2934) and Senator Ted Cruz (1-202-224-5922) to continue to ensure we have Medicaid to support programs serving individuals with IDD, as well as directly support individuals with IDD in Texas. The ARC of TEXAS has supplied a nice...Bill Creating “Building Better Futures Program” Signed Into Law By Governor Abbott
May 30th, 2025 Governor Abbott signed House Bill 2081, officially creating the Building Better Futures program into law on May 26th, 2025. This will be a step toward a more inclusive and accessible future for all Texans, including those with disabilities. Rep. John Bucy III authored the bill, and it was sponsored by Senator José Menéndez. This law takes effect immediately and establishes a grant program within the Texas Higher Education Coordinating Board...Greater Inclusion of Children with Disabilities in Early Education Program-Major Bill Passes
May 26th, 2025 As of May 25th, 2025, the House and Senate have passed a bill that will create a plan for greater inclusion of children with disabilities in early education programs. The Texas Senate gave final passage to House Bill 2310. The bill was authored by Rep. Claudia Ordaz and sponsored by Senator Tan Parker. It would require the TEA (Texas Education Agency), TWC (Texas Workforce Commission), and HHSC (Health and Human Services Commission) to develop a...IDD Operations Portal Enhanced View Training: May 23rd & May 28th, 2025
May 22nd, 2025 IDD Operations Portal (IDD Ops Portal) Administrators will provide a brief overview of the new and enhanced view of the system. Attendees are recommended to attend either session as they provide the same information. Register for the May 23rd IDD Operations Portal Enhanced View Training 11 a.m. to 12 p.m. OR Register for the May 28th IDD Operations Portal Enhanced View Training 2 p.m. to 3 p.m. Topics include: Initial and single user account setup...HCBS-Adult Mental Health Program: CBT Trainings
May 20th, 2025 Home and Community-Based Services – Adult Mental Health Program CBT trainings Home & Community-Based Services – Adult Mental Health (contains provider training and resource information) Adult Mental Health Home & Community-based Services Other information about the program:...Frequently Cited Deficiencies-HCS/TxHmL/ICF
May 20th, 2025 These are the most recent postings from HHSC, hopefully, those for 2024 will be posted soon, Home and Community-based Services 10 Most Frequently Cited Deficiencies in Home and Community-based Services (HCS) & Texas Home Living (TxHmL) — Fiscal Year 2023 (July 16, 2024) Texas Home Living 10 Most Frequently Cited Deficiencies in Home and Community-based Services (HCS) & Texas Home Living (TxHmL) — Fiscal Year 2023 (July 16, 2024)...Texas Parks & Wildlife Explore Webinar: New Initiatives Focusing on Accessibility & Inclusivity
May 18th, 2025 From HHSC Deat & Hard of Hearing Services: “Join the Texas Health and Human Services Commission Deaf and Hard of Hearing Services for EXPLORE!, a webinar presented by the Texas Parks and Wildlife Department (TPWD) Accessibility Team. Discover the latest updates and initiatives across Texas public lands, focusing on accessibility and inclusivity. From camping in a state park to touring a fish hatchery or renewing your hunting license at a...Employment Readiness Updates
May 17th, 2025 New Employment Readiness Assessment Tool On January 1, 2025, the Health and Human Services Commission (HHSC), implemented the new employment readiness benefit available to individuals enrolled in the Home and Community-based Services (HCS), Texas Home Living (TxHmL), or Deaf Blind with Multiple Disabilities (DBMD) waiver programs for individuals with intellectual or developmental disabilities. HHSC is required to assess all settings where employment...Maintaining Records: Your Responsibility As A Provider
May 16th, 2025 In accordance with 26 TAC §52.113 (relating to Record Retention and Disposition) and the requirements of the Community Services Provider Contract or Provider Agreement, all records must be developed and retained in the form in which they were created until the latest of the following: seven (7) years after a claim is submitted; seven (7) years after all issues involving the record have been mitigated; or the individual about whom the record relates...IDD Conferences & Conventions 2025
May 15th, 2025 National/International Conferences & Conventions: AAIDD Annual Meeting- The American Association on Intellectual and Developmental Disabilities (AAIDD) will hold its 149th annual meeting from June 23-25 in Washington D.C. This conference will focus on mentorship, access, equity, and collaboration in the IDD field. Texas State Chapter of AAIDD Convention- Takes place Sept. 29th-Oct. 2nd in Corpus Christi, Tx CR Unite Autism and IDD Care...Interagency Reportable Conduct Search Engine: Informal Comments Deadline For Draft Rules
May 15th, 2025 Deadline for Informal Comments: May 30 Texas Health and Human Services Commission (HHSC) is accepting comments from stakeholders on the following draft rules related to an interagency reportable conduct search engine. The comment period ends May 30, 2025. Texas Administrative Code, Title 26, Chapter 550, Chapter 551, Chapter 553, Chapter 554, Chapter 555, Chapter 556, Chapter 557, Chapter 558, Chapter 559, Chapter 560, Chapter 565, (HCS) and Chapter...Cost Report For 2024 & 2025 Accountability Report Training Information
May 6th, 2025 Additional Cost Report Training for HCS/TxHmL and ICF/IID or Related Conditions The HHSC Provider Finance Department (PFD) has scheduled an additional 2024 Cost Report Training for Home and Community-based Services/Texas Home Living (HCS/TxHmL) and Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions (ICF/IID) on Wednesday, May 7, 2025, at 9 a.m. Register here for this training or visit the HHSC PFD Cost...HCS Handbook Revision 25-1
May 4th, 2025 The HCS Handbook Has Been Revised The Home and Community-based Services (HCS), Handbook revision 25-1, updates Section 11000. 11000, Maintaining Medicaid Eligibility Financial Eligibility Guidelines for Texas Home Living and Home and Community-based Services This revision is effective April 29, 2025. Review the updates linked here. November 26th, 2024 The HCS Handbook Has Been Revised The Home and Community-based Services (HCS) Handbook revision...Local Intellectual and Developmental Disability Authority Handbook (LIDDA) 24-4 Revision
May 3rd, 2025 The LIDDA Handbook Has Been Revised The Local Intellectual and Developmental Disability Authority (LIDDA) Handbook, revision 25-3, updates form references. This revision is effective May 1, 2025. Review the updates linked here. February 26th, 2025 The LIDDA Handbook Has Been Revised The Local Intellectual and Developmental Disability Authority Handbook (LIDDA) revision 25-2 updates sections 19220, 19230 and Form 8591. This revision is effective Feb....“Caytlin Handley Act”-House Bill 1188
April 25th, 2025 “Caytlin Handley Act” On April 8, the House Committee on Public Education heard House Bill 1188, filed by Rep. Christian Manuel. This bill would require school districts to provide families of students identified as eligible to receive special education services due to a diagnosis of IDD or developmental delay to their (LIDDA), ensuring students and families are informed about Medicaid waiver programs, long-term services and supports, and other...Provider Job Openings & Employment Opportunities: HCS/ICF/ISS
April 18th, 2025 Job Position Lone Star HCS (Conroe, Tx) Job Position: Host Home/Companion Care Service Provider Please see information below and contacts to respond. Looking for Host Home/Companion Care provider who wants to care for 3 young men, 2 of which are fairly independent. The 3rd individual needs a bit more help with hygiene and meal preparation. The host home is located in the Woodlands, Texas area near Conroe and Houston. If you are...CFC Proposed Billing Requirements (HCS/TxHmL)-Drafts
April 15th, 2025 The proposed billing requirement revisions and a summary of changes are located on the Long-term Care Providers webpage and are outlined below: HCS CFC Billing Requirements for HCS and TxHmL Program Providers Draft Revision 25-1(PDF) CFC Billing Requirements for HCS and TxHmL Program Providers Draft Revision 25-1 Summary of Changes (PDF)Texas Council on Developmental Disabilities News This Week
April 15th, 2025 From our friends at Texas Council on Developmental Disabilities: IDD Coordinating Council TCDD Senior Public Policy Analyst Lauren Gerken provided verbal testimony on March 25 to the House Human Services Committee on House Bill (HB) 2807, which would establish a statewide intellectual and developmental disability (IDD) coordinating council. She discussed how this new council would bring multiple agencies together to develop strategies on...Updates on Budget Proposals For IDD Services
April 10th, 2025 Resource Links: Consideration of the budget as well as HB 500, the supplemental budget, by the House will occur today at 9:00am, Thursday, April 10th. HB 500 (supplemental): https://www.capitol.state.tx.us/tlodocs/89R/billtext/pdf/HB00500H.pdf#navpanes=0 House Rules Adopted related to Consideration of the Budget: To view the rules adopted by the House on April 2, 2025 related to consideration of the budget (SB 1), see pages 2 – 4...Upcoming Events
Feb
27
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Webinar: Best Practices and Tips...
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Webinar: Best Practices and Tips...
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Feb 27 @ 1:00 pm – 3:00 pm
Best Practices and Tips for Requesting an LON Increase ( HCS/ICF) Date: February 27th, 2026 Time: 1:00 PM-3:00PM Cost: $65 For: Program Managers, Administrators, Case Managers/Care Coordinators, Quality Assurance Staff, Nursing Staff Presenter: Julie Blacklock[...]
Mar
9
Mon
1:00 pm
(Webinar) “Review of Important H...
@ Webinar
(Webinar) “Review of Important H...
@ Webinar
Mar 9 @ 1:00 pm – 3:30 pm
“Webinar” Review of Important HCS Rules & Regs in TAC Ch 263: Policies & Procedures Your Program May Want To Update (Title 26 Part I Ch 263) Presented By Twogether Consulting Date: March 9th,[...]