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Office of the Texas Governor, Governor's Committee on People with Disabilities
HHSC Requests Comments on 1915(c) Waivers: DBMD, HCS, TxHmL, MDCP, CLASS

HHSC Requests Comments on DBMD Amendment Effective Sept. 1, 2025

HHSC is accepting comments on the amendment of the 1915(c) Deaf Blind with Multiple Disabilities Waiver. View the DBMD amendment details. [ [link removed] ]

Through this amendment, HHSC updated the attendant rates and increased the DBMD individual cost limit from $114,736.07 to 210 percent of the annualized cost of care in an Intermediate Care Facility for Individuals with an Intellectual Disability or Related Condition (ICF/IID) using the unweighted average of the fiscal year 2026 non-state operated small facility daily rates for Level of Needs (LONs) 1, 5, and 8, rounded to the nearest dollar which is estimated to be $149,774 pending finalization of the fiscal year 2026 rates for ICF/IIDs.

Comments will be accepted until July 21, 2025.

Email comments to the Texas Medicaid Waivers inbox <[email protected]>.

________________________________________________________________________



HHSC Requests Comments on HCS Amendment Effective Sept. 1, 2025

HHSC is accepting comments on the amendment of the 1915(c) Home and Community-based Services Waiver. View the HCS amendment details. [ [link removed] ]

Through this amendment, HHSC updated the attendant rates and increased the HCS individual cost limits. The cost limits were updated as described below: 


* Intermittent (LON 1), Limited (LON 5), and Extensive (LON 8)
* The amount is going from $167,468 to 210 percent of the annualized cost of care in an Intermediate Care Facility for Individuals with an Intellectual Disability or Related Condition (ICF/IID) using the fiscal year 2026 non-state-operated small facility daily rate for Level of Need (LON) 8, rounded to the nearest dollar, which is estimated to be $169,182 pending finalization of the fiscal year 2026 rates for ICFs/IIDs.


* Pervasive (LON 6):
* The amount is going from $168,615 to 210 percent of the annualized cost of care in an ICF/IID using the fiscal year 2026 non-state-operated small facility daily rate for LON 6, rounded to the nearest dollar which is estimated to be $211,822 pending finalization of the fiscal year 2026 rates for ICFs/IIDs.


* Pervasive plus (Level of Need 9):
* The amount is going from: $305,877 to 210 percent of the annualized cost of care in an ICF/IID using the fiscal year 2026 non-state-operated small facility daily rate for LON 9, rounded to the nearest dollar which is estimated to be $392,318 pending finalization of the fiscal year 2026 rates for ICFs/IIDs.

Comments will be accepted until July 21, 2025.

Email comments to the Texas Medicaid Waivers inbox <[email protected]>.

________________________________________________________________________



HHSC Requests Comments on TxHmL Amendment Effective Sept. 1, 2025

HHSC is accepting comments on the amendment of the 1915(c) Texas Home Living Waiver. View the TxHmL amendment details. [ [link removed] ]

Through this amendment, HHSC updated the attendant rates and increased the TxHmL individual cost limit from: $17,000 to 50 percent of the annualized cost of care in an Intermediate Care Facility for Individuals with an Intellectual Disability or Related Condition (ICF/IID) using the fiscal year 2026 non-state-operated small facility daily rate for Level of Need (LON) 1, rounded to the nearest dollar which is estimated to be $31,684 pending finalization of the fiscal year 2026 rates for ICFs/IIDs.

Comments will be accepted until July 21, 2025.

Email comments to the Texas Medicaid Waivers inbox <[email protected]>.

________________________________________________________________________



HHSC Requests Comments on MDCP Amendment Effective Sept. 1, 2025

HHSC is accepting comments on the amendment of the 1915(c) Medically Dependent Children Program Waiver. View the MDCP amendment details. [ [link removed] ]

Comments will be accepted until July 21, 2025.

Email comments to the Texas Medicaid Waivers inbox <[email protected]>.

________________________________________________________________________



HHSC Requests Comments on CLASS Amendment Effective Sept. 1, 2025

HHSC is accepting comments on the amendment of the 1915(c) Community Living Assistance and Support Services Waiver. View the CLASS amendment details. [ [link removed] ]

Through this amendment, HHSC updated the attendant rates and increased the CLASS individual cost limit from $114,736.07 to 210 percent of the annualized cost of care in an Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Condition (ICF/IID) using the unweighted average of the fiscal year 2026 non-state operated small facility daily rates for Level of Needs (LONs) 1, 5, and 8, rounded to the nearest dollar which is estimated to be $149,774 pending finalization of the fiscal year 2026 rates for ICFs/IID.

Comments will be accepted until July 21, 2025.

Email comments to the Texas Medicaid Waivers inbox <[email protected]>.



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