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2023 Awarded Levels for the Attendant Compensation and Direct Care Staff Enhancement Programs

Last updated on 9/27/2022

The Texas Health and Human Services Commission (HHSC) announces the publication of the awarded levels for Long-term Services and Supports (LTSS) providers participating in the Attendant Compensation and Direct Care Staff enhancement programs for state fiscal year (FY) 2023 for the following programs:

Attendant Compensation Rate Enhancement Program for:

  • Community Living Assistance and Support Services (CLASS) – Direct Service Agency (DSA);
  • Day Activity and Health Services (DAHS);
  • Deaf-Blind with Multiple Disabilities Waiver (DBMD);
  • Home and Community-based Services (HCBS);
  • Primary Home Care (PHC);
  • Residential Care (RC);
  • Texas Home Living (TxHmL); and
  • Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions (ICF/IID).

 Direct Care Staff Enhancement Program for Nursing Facility (NF)

Upon implementation of the rate enhancements associated with the FY2023 awarded levels into the Texas Medicaid and Healthcare Partnership Claims Management System, if your awarded enhancement level is different from your current enhancement level, a retroactive rate adjustment for paid claims with dates of service beginning September 1, 2022, will automatically occur.

HHSC Provider Finance Department (PFD) is continuously processing new providers, terminations, and changes of ownership. We will continue to update these requests monthly.

Providers who participate in these optional programs must be contracted with HHSC. They must also have completed an enrollment contract amendment during the open enrollment period in July 2022.

To view the FY2023 enrollment awarded levels list, please visit the PFD website. If you have questions regarding your FY2023 enrollment status, please contact the LTSS Center for Information and Training (CIT) by phone at (737) 867-7817 or by email.