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Direction on Implementation of Medicaid Waiver Cost Limit and Rate Changes Effective Sept. 1, 2025

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On Aug. 28, 2025, HHSC published the following information letters (ILs) on the intellectual and developmental disability waiver cost limit increases, discontinuation of Attendant Care Rate Enhancement, and individual plan of care revision process to update attendant rates effective Sept. 1, 2025: Deaf Blind with Multiple Disabilities IL 2025-22, Community Living Assistance and Support Services IL 2025-23, Home and Community-based Services IL 2025-21, and Texas Home Living IL 2025-19.
Please review the ILs for more information on implementation of these changes and where to direct questions.