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Texas Health and Human Services Commission Notifies Providers of the SFY 2025-29 Financial Compliance Report Information

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Texas Health and Human Services Commission (HHSC) has published the Information Letter (IL) 2026-12 (.pdf) regarding the state fiscal year (SFY) 2025-2029 Financial Compliance Reporting (FCR) Requirements for Long-term Services and Supports (LTSS) Medicaid and non-Medicaid programs, and Payment Adequacy Provisions.

The IL explains how HHSC plans to implement the Payment Adequacy Provisions of the Centers for Medicare & Medicaid Services’ (CMS) Ensuring Access to Medicaid Services Final Rule. It also establishes new FCR requirements for LTSS and home health providers to submit attendant and direct care staff compensation data to meet federal requirements.

Review the IL for more information. For questions regarding this notice, contact LTSS staff at (737) 867-7817 or PFD LTSS.