July 22nd, 2026
Update Regarding Weekend Offline Period and Access to New Critical Incident Management System
HHSC’s Information Letter No. 2026-21 provides updates about the transition to the new Critical Incident Management System (CIMS) for certain Medicaid providers.
The current CIMS system will be unavailable beginning close of business Friday, July 24, 2026, at 5 p.m. The new system will be available beginning at 8 a.m. on Monday, July 27, 2026. Providers will not have access to either system during that weekend.
The new CIMS supports the same provider workflows and functions as the current system, with improvements to navigation and usability. Requirements for submitting incidents using CIMS are not changing. Providers should continue to follow established program requirements for reporting incidents. Data contained in the current CIMS will be migrated to the new system. Providers will not be required to re-enter organization, location, staff, or person profiles. Incident reports that have been in draft status for more than
Providers can access this letter on the CIMS website and on the following program information letter webpages:
- Deaf Blind with Multiple Disabilities (DBMD)
- Community Living Assistance and Support Services (CLASS)
- Home and Community-Based Services (HCS)
- Local Intellectual and Developmental Disability Authorities (LIDDAs)
- Texas Home Living (TxHmL)
If you have any questions about the transition, please contact: MCS_CIMS@hhs.texas.gov
July 2nd, 2026
NEW CIMS Platform and Training Opportunities
July 2nd, 2026
Information Letter on Transition & Training Opportunities
Texas Health and Human Services has published Information Letter IL 2026-19, regarding the transition to and training for the new Critical Incident Management System (CIMS) for 1915(c) Medicaid Waiver Program Providers.
The letter includes information on the transition to the new CIMS platform and how to prepare for the switch. In addition, they have also added links for providers to register for upcoming training sessions.
Training sessions will be from July 14-20, 2026. PLEASE DON’T MISS OUT ON THESE TRAININGS!
CIMS Provider Foundations: July 14th, 2026 Registration (1-2 pm central)
CIMS Provider Incident Submissions Training: July 16th, 2026 Registration (1-2:30 pm central)
CIMS Provider Administration Training: July 20th, 2026 Registration (1-3 pm central)
July 2nd, 2026
Providers can access this letter on the CIMS website and on the following waiver program information letter webpages:
- Deaf Blind with Multiple Disabilities (DBMD)
- Community Living Assistance and Support Services (CLASS)
- Home and Community-Based Services (HCS)
- Local Intellectual and Developmental Disability Authorities (LIDDAs)
- Texas Home Living (TxHmL)
If you have any questions about the transition or upcoming training, please contact: MCS_CIMS@hhs.texas.gov
June 14th, 2026

March 14th, 2026
CIMS: A new vendor has been procured – Deloitte.
The transition to current vendor will take 6 months with target date for completion August 1, 2026.
HHSC will conduct webinars and ad hoc meetings and publish bulletins and Information Letters to prepare providers for the transition between now and August 1, 2026.


