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

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

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.