September 27th, 2022

Please see the newly proposed ISS (Individualized Skills & Socialization) rates.  The proposed rates would be effective January 1st, 2023, if accepted, at the following link:  https://pfd.hhs.texas.gov/sites/rad/files/documents/2023/01-01-2023-pmnt-rates-individualized-skills-socialization-%20srvcs.pdf

Hearing:
The Texas Health and Human Services Commission (HHSC) will conduct an in-person public hearing to receive public comment on proposed Medicaid payment rates from 9:00 a.m. to 11:00 a.m. on October 11, 2022. The public hearing will be held in the Robert D. Moreton Building, Public Hearing Room M-100, First Floor, at 1100 West 49th Street, Austin, Texas 78751. Free parking is available in front of the building and in the adjacent parking garage. HHSC will consider feedback shared during the hearing prior to final rate approval. The hearing will be held in compliance with Texas Human Resources Code Section 32.0282, which requires public notice of hearings on proposed Medicaid reimbursements.
Should you have any questions regarding the information in this document, please contact: Provider Finance Department Long-Term Services and Supports Texas Health and Human Services Commission
E-mail: PFD-LTSS@hhs.texas.govHHSC will archive the recorded public hearing.

The recording can be accessed on-demand after the hearing at https://hhs.texas.gov/about-hhs/communications-events/live-archived-meetings.

For HCS/TxHmL programs, HHSC is proposing rates that will vary by an individual’s Level of Need (LON). HHSC is also proposing a Level One Enhanced Staffing Rate and Level Two Enhanced Staffing Rate for off-site individualized skills and socialization. The Level One Enhanced Staffing Rate for off-site individualized skills and socialization is for certain individuals with LON 1 or LON 5 who need additional supports while in the community. The Level Two Enhanced Staffing Rate is for certain individuals with a LON 1, LON 5, LON 8, or LON 6 in the HCS Program, and any individual in the TxHmL Program regardless of LON who need additional staffing supports than supported by the Level One Enhanced Staffing Rate off-site for individualized skills and socialization.
*All proposed individualized skills and socialization rates are per hour.