January 14th, 2022

HHSC LTCR Individualized Skills and Socialization Services Webinar

HHSC invites Home and Community-based Services, Texas Home Living, Deaf Blind with Multiple Disabilities, Home and Community Support Services Agency, and other providers to attend the Long-term Care Regulation Individualized Skills and Socialization Services Webinar.

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Jan. 26
3–4 p.m.
Register for the webinar.

HHSC Message:  We have extended the deadline to provide informal comments on the Medicaid Individualized Skills and Socialization rules until January 14, 2022.  The date has been updated on the HHSC rules at: Comment on Proposed & Draft Rules | Texas Health and Human Services.  We know there is concern about simultaneous review of the draft Medicaid Individualized Skills and Socialization and the Long-Term Care Regulatory (LTCR) licensing rules.  As you know, we are at the beginning of the public comment process.  The timeline for the Medicaid rules targets a May Medical Care Advisory Committee (MCAC) presentation.  The draft LTCR rules will be available for review while the Medicaid/CHIP rules are still in the proposal phase.  This will allow for feedback during the formal proposal period and give all stakeholders an opportunity to request changes to the Medicaid rules based on review of the draft LTCR rules.

December 25th, 2021

Deadline for Informal Comments on HHS Draft ISS Rules Due January 14, 2022

Texas Health and Human Services (HHS) is accepting comments from stakeholders on the following draft rules.

The comment period ends January 14, 2022.

Comment on Proposed & Draft Rules | Texas Health and Human Services

Questions can be emailed to HHS Rules Coordination Office.


December 14th, 2021
Message from HHSC to the IDD SRAC Day Habilitation/Employment Services Subcommittee
“We wanted to make all of you aware of some guidance released by HHSC Long-Term Care Regulatory (LTCR) on Friday, December 10th regarding the new Individualized Skills and Socialization service that will be replacing day habilitation.  As you may know, the 87th Legislature approved HHSC moving forward with recommendations contained in the Rider 21 report, Transition of Day Habilitation Services, https://www.hhs.texas.gov/sites/default/files/documents/laws-regulations/reports-presentations/2021/rider-21-transition-day-habilitation-services-jan-2021.pdf, to implement the Individualized Skills and Socialization service. The report recommendations identified the need for a provider registry because HHSC currently has no way to identify providers that deliver day habilitation today.

In order to implement the registry and monitoring requirements outlined in the Home and Community-based Settings regulation in time to comply with the March 17, 2023 deadline, LTCR must utilize existing data systems and procedures for intake and compliance monitoring.  The need to use existing data systems and current regulatory processes resulted in the decision to develop a subcategory of Day Activity and Health Services licensure for Individualized Skills and Socialization providers.  This allows the providers to be tracked through the license application process and LTCR can establish rules governing how Individualized Skills and Socialization providers will be monitored under the license to ensure compliance with the Home and Community-based Settings regulations. Individualized skills and socialization providers can expect a $75.00 licensing fee, which is good for three years.

The provider letter can be found here: https://www.hhs.texas.gov/sites/default/files/documents/PL2021-42.pdf

My staff, are happy to present on this with colleagues from LTCR at the February 8th meeting.  We are also planning to attend the next full IDD SRAC meeting along with LTCR staff to discuss the guidance issued on December 10th.  My staff have drafted Medicaid rules for Individualized Skills and Socialization that will soon be published for informal comment.  We will be sure to send the link to the draft rules to the IDD SRAC committee members and will also discuss the draft rules at the full IDD SRAC meeting and your subcommittee on February 8th LTCR will have separate rules for Individualized Skills and Socialization providers and we will ensure your awareness when LTCR rules are open for comment.”