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 connectivity if you have never attended a webinar from your computer. You can run this test at any time before the date of the webinar. Perform this test early to allow time to address any technical issues.
Email tx_medicaid_waivers@hhs.texas.gov with any questions.
July 16th, 2025
The Health and Human Services Commission (HHSC) will be proposing increased rates for identified attendant services and discontinuing the Attendant Compensation Rate Enhancement (Rate Enhancement) program, effective September 1, 2025. These increases are pursuant to the 2026-27 General Appropriations Act, Senate Bill 1, 89th Legislature, Regular Session, 2025 (Article II, HHSC, Rider 23).
Please pay special attention to the cost reporting guidance in this provider letter.
* Public notices will be published in the Texas Register, which can be accessed on the Texas Secretary of State website.
The Proposed Rate Packet and other information will also be published on the HHSC PFD website.
Lastly, HHSC will be issuing GovDelivery alerts. To begin receiving these alerts, visit the GovDelivery site, select Medicaid Reimbursement Rates and Non-Medicaid Reimbursement Rates as preferences, and enter the requested information.
Please contact the HHSC PFD, Long-term Services and Supports Center for Information and Training Team, if you have questions regarding this provider letter at PFDLTSS@hhs.texas.gov or (737) 867-7817.
Note From Twogether Consulting: From what we understand, essentially the increased rates will help those HCS providers who do not already receive the Attendant Compensation Rate Enhancement (ACRE), but it will be a “wash” for those who currently participate in this rate enhancement. (Although it is not nearly the increase that was wanted and needed to support residential services in particular.) So, what it sounds like, is that those providers who receive ACRE currently would make about the same amount without ACRE, when the increased rates go into effect Sept. 1st, 2025. We have however, been hearing from many providers that they feel that from their calculations, they may actually lose money with the rate increase and loss of ACRE.