April 20th, 2026
HHSC Published IL 2026-09 Nursing Pre-Assessment Services Billing Requirements
Texas Health and Human Services Commission (HHSC) has published Information Letter (IL) 2026-09. This information letter clarifies the Community Living Assistance and Support Services (CLASS) and Deaf Blind with Multiple Disabilities (DBMD) registered nursing (RN) pre-assessment billing process for services provided prior to enrollment.
The IL may be located on the CLASS Information and Provider Letters webpage and the DBMD Information and Provider Letters webpage. Review the IL for more information.
Questions about this IL may be emailed to CLASSPolicy@hhs.texas.gov or DBMDPolicy@hhs.texas.gov.
April 16th, 2026
IL 2026-08 (Replaces IL 2024-07) EVV Documentation Related to Forms 3625 & 6503
Health and Human Services Commission (HHSC) has published the Information Letter IL 2026-08 (Revised), regarding the changes to Form 3625 Community Living Assistance and Support Services (CLASS) and Community First Choice (CFC) – Documentation of Services Delivered and Form 6503, Deaf Blind with Multiple Disabilities (DBMD) and CFC – Summary of Services Delivered, and Services Documented through Electronic Visit Verification (EVV) System. The revised IL can be found on the CLASS Information and Provider Letters page, and the DBMD Information and Provider Letters page.
This updated Information Letter corrects the subject of the previous version (IL 2024-07) that listed the incorrect form number for DBMD and CFC Summary of Services Delivered. It was listed as Form 6505 but should have been listed as Form 6503.
Review the IL for more information. Questions about this IL may be emailed to CLASSPolicy@hhs.texas.gov or DBMDPolicy@hhs.texas.gov.
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 Intellectual Disability or Related Condition (ICF/IID) using the unweighted average of the fiscal year 2026 non-state operated small facility daily rates for Level of Needs (LONs) 1, 5, and 8, rounded to the nearest dollar which is estimated to be $149,774 pending finalization of the fiscal year 2026 rates for ICFs/IID.
Comments will be accepted until July 21, 2025.
Email comments to the Texas Medicaid Waivers inbox.
March 20th, 2025
CLASS Form 3621 and Instructions Update
CLASS Form 3621, CLASS or CFC – Individual Plan of Care and Form 3621-T, CLASS/CFC – IPC Service Delivery Transfer Worksheet have been updated and are now available. The effective date for the forms and forms instructions is February 2025. Click here for the new forms.
March 16th, 2025
CLASS and DBMD Quarterly Webinar Recording Available
The March 19th Community Living Assistance and Support Services (CLASS) and Deaf Blind with Multiple Disabilities (DBMD) Quarterly Webinar with HHSC Long Term Services and Supports is available.
Listen to the webinar recording.
Read the CLASS and DBMD Quarterly Webinar (PDF).
October 8th, 2024
CLASS Program Manual Revised
The Community Living Assistance and Support Services (CLASS) Provider Manual revision 24-2 updates Section 2350 and Form 3595. The revision is effective Sept. 1, 2024.
