Public Notice - Home and Community-based Services Program Amendment (9), (PN 06140315b)

Jun 30 2016
Waiver amendment to the Home and Community-based Services Program (HCS)

Waiver amendment to the Home and Community-based Services Program (HCS)

The Texas Health and Human Services Commission (HHSC) is submitting to the Centers for Medicare & Medicaid Services (CMS) a request for an amendment of the Home and Community based-Services (HCS) waiver program, a waiver implemented under the authority of section 1915(c) of the Social Security Act. CMS has approved this waiver through August 31, 2018. The proposed effective date for the amendment is August 31, 2016, with no changes to cost neutrality.

This amendment request proposes to make the following changes:

1. Appendix B and J - Update the number of individuals that can be enrolled in the waiver at any point in time and the maximum number of unduplicated individuals that can be served based on legislative appropriations for waiver years 3, 4 and 5.

2. Appendix B - Make a technical correction to Medicaid eligibility groups. The eligibility group, Former Foster Care Children, is added back into the specified groups as it had been deleted in error during a previous amendment.

3. Appendix J - As a result of the implementation of community first choice (CFC), the costs associated with CFC are being transferred from waiver costs (Factor D) to acute care costs (Factor D').

The Department of Aging and Disability Services (DADS) operates the HCS waiver, under HHSC's authority. The waiver provides services and supports to individuals with intellectual disabilities who live in their own homes, a family member's home, or community settings such as small three and four person homes. To be eligible for the waiver, individuals must meet financial eligibility criteria and need the level of care required for admission into an intermediate care facility for individuals with intellectual disabilities.

An individual may obtain a free copy of the proposed waiver amendment, including the HCS settings transition plan, or to ask questions, obtain additional information, or submit comments regarding this amendment or the HCS settings transition plan, by contacting Jacqueline Pernell by U.S. mail, telephone, fax, or email. The addresses are as follows:

U.S. Mail

Texas Health and Human Services Commission

Attention: Jacqueline Pernell, Waiver Coordinator, Policy Development Support

P.O. Box 13247 Mail Code H-600

Austin, Texas 78711-3247

Telephone: (512) 428-1931

Fax  (512) 730-7477 Attention: Jacqueline Pernell, Waiver Coordinator

Email: TRD-201602992 Karen Ray, Chief Counsel, Texas Health and Human Services Commission

Filed: June 14, 2016