HHSC: HCS Amendment To Rates Effective Sept. 1, 2025

by | Aug 15, 2025

August 15th, 2025

In September 2025, Texas will see changes to HCS (Home and Community-based Services) rates, including the discontinuation of the Attendant Compensation Rate Enhancement program and increased rates for identified attendant services. These changes are tied to the 2026-27 General Appropriations Act, specifically Rider 23

  • Discontinuation of Attendant Compensation Rate Enhancement:

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    The current program will end, effective September 1, 2025. 

  • Rate Increases for Attendant Services:

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    HHSC will propose increased rates for certain attendant and attendant-like services, also effective September 1, 2025. 

  • Funding for Wage Increases:

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    The 2026-27 General Appropriations Act, Rider 23, provides funding for HHSC to increase the wage for personal attendants to $13.00 per hour and adjust related payroll costs. 

June 21st, 2025

HHSC is accepting comments on the amendment of the 1915(c) Home and Community-based Services Waiver. View the HCS amendment details.

Through this amendment, HHSC updated the attendant rates and increased the HCS individual cost limits. The cost limits were updated as described below:

  • Intermittent (LON 1), Limited (LON 5), and Extensive (LON 8)

    • The amount is going from $167,468 to 210 percent of the annualized cost of care in an Intermediate Care Facility for Individuals with an Intellectual Disability or Related Condition (ICF/IID) using the fiscal year 2026 non-state-operated small facility daily rate for Level of Need (LON) 8, rounded to the nearest dollar, which is estimated to be $169,182 pending finalization of the fiscal year 2026 rates for ICFs/IIDs.

  • Pervasive (LON 6):

    • The amount is going from $168,615 to 210 percent of the annualized cost of care in an ICF/IID using the fiscal year 2026 non-state-operated small facility daily rate for LON 6, rounded to the nearest dollar which is estimated to be $211,822 pending finalization of the fiscal year 2026 rates for ICFs/IIDs.

  • Pervasive plus (Level of Need 9):

    • The amount is going from: $305,877 to 210 percent of the annualized cost of care in an ICF/IID using the fiscal year 2026 non-state-operated small facility daily rate for LON 9, rounded to the nearest dollar which is estimated to be $392,318 pending finalization of the fiscal year 2026 rates for ICFs/IIDs.

Comments will be accepted until July 21, 2025.

Email comments to the Texas Medicaid Waivers inbox.