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HHSC has published IL 2026-26 (Replaces IL 2026-09) Regarding Pre-Enrollment Assessment Services Billing Requirements

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HHSC has published Information Letter (IL) 2026-26 (Corrected), regarding Pre-Enrollment Assessment Services Billing Requirements. The corrected IL can be found on the CLASS Information and Provider Letters page, and the DBMD Information and Provider Letters page.

This corrected Information Letter updates the subject of the previous version (IL 2026-09) that provided inaccurate information regarding billing processes for services prior to waiver enrollment. IL 2026-09 stated that nursing (RN) pre-enrollment services must be billed via Electronic Visit Verification (EVV), however pre-enrollment services may not be billed via EVV. CLASS pre-assessment services must be billed through Form 3625, CLASS and CFC – Documentation of Services Delivered and DBMD pre-assessment services must be billed through Form 6503, DBMD and CFC Summary of Services Delivered.

For more information please review IL 2026-26. Questions about this IL may be emailed to CLASSPolicy@hhs.texas.gov or DBMDPolicy@hhs.texas.gov.