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...