September 19th, 2025

This IL replaces; i.e., IL 2025-17, and it does provide links to the Information Letters HHSC has previously posted regarding IPC and ISP changes in the HCS, TxHmL, CLASS and DBMD programs.
Based on questions many providers have asked about the wage rate, please note the statement on page 1 that states Rider 23 increases attendant wages to an average of $13/hour.   
From HHSC

“HHSC has published the Information Letter IL 2025-24 (Replaces IL 2025-17), regarding the approved payment rates for personal attendant services in various programs. The HHSC Provider Finance Department webpage has more information about the approved payment rates.
Review the IL for more information. If you have further questions, contact HHSC PFD, Long-term Services and Supports (LTSS), Center for Information and Training at PFD-LTSS@hhs.texas.gov or (737) 867-7817.Payment Rates”