HHSC’s information letter (IL) revises IL 20-19, In-Home Day Habilitation Information for Program Providers for COVID-19, previously revised on July 30, 2020, to extend the temporary guidance through November 30, 2020.In response to COVID-19andtoprovide access to needed day habilitation services, the Health and Human Services Commission(HHSC)is temporarily waiving certain requirements in Sections4320and 3710of the HCS Billing Guidelines and the TxHmL Billing Guidelines. Specifically, Section 4320 permits day habilitation to be provided to an individual in the individual’s residence only if justified because of the individual’s medical condition or behavioral issues or because the individual is of retirement age. Section 3710 prohibits one service provider from providing different service components or subcomponents at the same time to the same individuals.
Below are descriptions of the temporary policy changes.
See page two for the current policy under Sections 4320 and 3710. Effective March 13, 2020, through November 30, 2020:
●HCS or TxHmL program providers may provide day habilitation to an individual in the individual’s permanent or temporary residence without having the justification required by Section 4320. This includes individuals residing in their own homes or family homes.
●HCS program providers may, if an individual in the HCS Program is receiving day habilitation in the individual’s temporary or permanent residence, allow the individual’s service provider of residential support, supervised living, or
●host home/companion care to provide day habilitation to the individual at the same time the service provider provides residential support supervised living, or host home/companion care to the individual.  For more information please read information letter IL 20-19