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FY 2022 Enrollment Contract Amendment Open Enrollment July 1 through July 31, 2021

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The Texas Health and Human Services Commission (HHSC) announces Open Enrollment for:

  • Attendant Compensation Rate Enhancement Program for Community Care, Home and Community-based Services, Texas Home Living, and Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions
  • Direct Care Staffing Compensation Program for Nursing Facilities (NF)

This enrollment pertains only to providers contracted with HHSC as described in Title 1, Texas Administrative Code (TAC) §355.112 and §355.308.

Providers who are contracted directly with a managed care organization (MCO) will continue to enroll for rate enhancement through that MCO and may not enroll through the process discussed below.

Providers who choose to participate in this optional program receive additional funds to provide increased wages and benefits for attendants or direct care staff and must demonstrate compliance with enhanced staffing or spending requirements on future cost or accountability reports.

To request participation or an increase in level, you must complete an online Enrollment Contract Amendment (ECA) by 5:00pm on July 31, 2021. You must complete the ECA online; no faxes will be accepted. No forms are included with this letter. The ECA, all instructions, and worksheets are available on the HHSC Provider Finance Department website.

From this website:

  1. Select the appropriate program.
  2. Scroll down to the heading “Rate Enhancement – Attendant Compensation” or “Rate Enhancement - Direct Care Staff Compensation” (for Nursing Facility).
  3. Click on “View 2022 Rate Enhancement.”
  4. Access the ECA by clicking on "Enrollment Contract Amendment Form" under “Other Documents Important to the 2022 Enrollment Information.”
  5. In the same “Other Documents” section, you can access instructions for completing the ECA by clicking on “Enrollment Contract Amendment Instructions.” Important: Review the instructions prior to completing the ECA.
  6. From this website, under “View 2022 Rate Enhancement,” you can view the Open Enrollment Video. There are no rate enhancement webinars for FY 2022.

Note: Due to recent server changes, the Long-Term Services and Supports (LTSS) Open Enrollment portal site may be marked as unsecure; this is due to the security certificate for enhanced security measures versus the certificates the server can handle. We will be moving the application to a new server soon. In the meantime, you may receive a “not secure” warning from the website. However, the site is secure, and you can submit your request and data to meet the upcoming deadlines. If you have any questions, please email Provider Finance.