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Employment Readiness Provider Self-Assessment Tool: HCBS Settings Rule Compliance

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On January 1, 2025, the Health and Human Services Commission (HHSC), implemented the new employment readiness benefit available to individuals enrolled in the Home and Community-based Services (HCS), Texas Home Living (TxHmL), or Deaf Blind with Multiple Disabilities (DBMD) waiver programs for individuals with intellectual or developmental disabilities. HHSC is required to assess all settings where employment readiness is provided for compliance with federal Home and Community-Based Services (HCBS) Settings requirements at 42 CFR 441.301(c)(4) before employment readiness can be provided in the setting.

All settings not previously assessed for compliance with the HCBS Settings Rule must conduct a self-assessment using the Employment Readiness Self-Assessment tool and submit it to Medicaid_HCBS@hhs.texas.gov for review and approval before providing employment readiness. This tool is now available to providers at Employment Readiness Provider Self-Assessment Tool: HCBS Settings Rule Compliance. See Information Letters 2025-05 and 2025-01 for more details.