2021 Rate Enhancement Attendant Compensation Information


The 2000-01 General Appropriations Act and S.B. 1839 (77th Legislature) established the attendant compensation rate enhancement and the nursing facility direct care staff rate enhancement. This made certain funding contingent upon HHSC adopting agency rules to incentivize increased compensation to attendants and established incentivizes that increased direct care staffing and direct care wages and benefits in nursing homes.

Overview of Community Care and IDD Attendant Compensation Rate Enhancement (.pdf)

Overview of Nursing Facility Direct Care Staff Enhancement & Accountability (.pdf)


Open enrollment:

Open enrollment begins on the first day of July and ends on the last day of that same July preceding the rate year for which payments are being determined, unless the Texas Health and Human Services Commission (HHSC) notified providers before the first day of July that open enrollment has been postponed or cancelled. Read more...

New contracts and component codes:

A new contract is defined as a contract or component code whose effective date is on or after the first day of the open enrollment period for that rate year. New contracts will be mailed information from HHSC regarding their enrollment. Read more...


    Community Care and IDD

    Nursing Facility

    2021 Enrollment Information Letter:

    View the Open Enrollment Notification Letter (.pdf)

    Other Documents Important To The 2021 Enrollment Information:

    View the Participation Status - Levels Awarded

    View the Enrollment Contract Amendment Instructions

    Complete the Enrollment Contract Amendment form (Recommended browser Google Chrome)

    View the Enrollment Worksheets and Instructions

    2021 Enrollment Limitations Information:

    View the Enrollment Limitations Letter (.pdf)
    (Note: The 2021 Enrollment Limitation letter was e-mailed to contracted providers. Please select the link above to view the enrollment limitation letter e-mailed out)

    View the Contracts Receiving Enrollment Limitation Letters

    View the Request for Revision Report and Instructions

    Training Information:

    View the Enrollment Training Information