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2024 Enrollment Levels Awarded

The 2024 Enrollment Levels have been awarded based on the available appropriations. Read the important information before continuing to the awarded levels list.

CPC - Primary Home Care, Community Living Assistance and Support Services - Direct Service Agency

For state fiscal year 2024, additional rate enhancement levels awarded above pre-existing levels were limited by available appropriations. Providers requesting to increase their enhancement participation level were awarded enhancements up to level 32, the highest level within the scope of appropriations for this purpose. Participating providers in state fiscal year 2023 that did not submit an Enrollment Contract Amendment, and did not have an imposed limitation, will maintain the previous year’s enrollment status.

Awarded enhancement levels will not be entered into the Claims Management System until after your first billing cycle of the new state fiscal year. If your awarded enhancement level is different from your current enhancement level, this will result in retroactive rate adjustments for any September 2023 claims paid before your new level is entered into the system.

If you have questions regarding your 2024 enrollment status, please contact the LTSS Center for Information and Training (CIT).

Effective: 09/01/2023

View participation status-levels awarded list (.pdf)

DAHS - Day Activity and Health Services

For state fiscal year 2024, additional rate enhancement levels awarded above pre-existing levels were limited by available appropriations. Providers requesting to increase their enhancement participation level were awarded enhancements up to level 32, the highest level within the scope of appropriations for this purpose. Participating providers in state fiscal year 2023 that did not submit an Enrollment Contract Amendment, and did not have an imposed limitation, will maintain the previous year’s enrollment status.

Awarded enhancement levels will not be entered into the Claims Management System until after your first billing cycle of the new state fiscal year. If your awarded enhancement level is different from your current enhancement level, this will result in retroactive rate adjustments for any September 2023 claims paid before your new level is entered into the system.

If you have questions regarding your 2024 enrollment status, please contact the LTSS Center for Information and Training (CIT).

Effective: 09/01/2023

View participation status - levels awarded list (.pdf)

DBMD - Deaf Blind and Multiple Disabilities Waiver

For state fiscal year 2024, additional rate enhancement levels awarded above pre-existing levels were limited by available appropriations. Providers requesting to increase their enhancement participation level were awarded enhancements up to level 32, the highest level within the scope of appropriations for this purpose. Participating providers in state fiscal year 2023 that did not submit an Enrollment Contract Amendment, and did not have an imposed limitation, will maintain the previous year’s enrollment status.

Awarded enhancement levels will not be entered into the Claims Management System until after your first billing cycle of the new state fiscal year. If your awarded enhancement level is different from your current enhancement level, this will result in retroactive rate adjustments for any September 2023 claims paid before your new level is entered into the system.

If you have questions regarding your 2024 enrollment status, please contact the LTSS Center for Information and Training (CIT).

Effective: 09/01/2023

View participation status - levels awarded list (.pdf)

HCS/TxHmL - Home and community Based Services/Texas Home Living

For state fiscal year 2024, additional rate enhancement levels awarded above pre-existing levels were limited by available appropriations. Providers requesting to increase their enhancement participation level were awarded enhancements:

HCS /TxHmL Individualized Skills and Socialization – Level 1, with an $0.05 add-on amount following the DH daily rate to Individualized Skills and Socialization hourly rate conversion, the highest level within the scope of appropriations for this purpose.

HCS  Residential – Level 9, the highest level within the scope of appropriations for this purpose.
HCS /TxHmL Non-Individualized Skills and Socialization – Level 9, the highest level within the scope of appropriations for this purpose.

Beginning with state fiscal year 2024, HHSC transitioned HCS Day Habilitation services participation category to HCS Individualized Skills and Socialization participation category and the HCS Non-Day Habilitation services participation category to the HCS Non-Individualized Skills and Socialization participation category for the attendant compensation rate enhancement program.  The HCS Residential participation category did not change.  Participating providers in state fiscal year 2023 that did not submit an Enrollment Contract Amendment and did not have an imposed limitation will maintain the state fiscal year’s enrollment status for the respective participation category for the state fiscal year 2024 program period.

Awarded enhancement levels will not be entered into the Claims Management System until after your first billing cycle of the new state fiscal year. If your awarded enhancement level is different from your current enhancement level, this will result in retroactive rate adjustments for any September 2023 claims paid before your new level is entered into the system.

If you have questions regarding your 2024 enrollment status, please contact the LTSS Center for Information and Training (CIT).

Effective: 09/01/2023

View participation status - levels awarded list (.pdf)

ICF/IID - Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions

For state fiscal year 2024, additional rate enhancement levels awarded above pre-existing levels were limited by available appropriations. Providers requesting to increase their enhancement participation level were awarded enhancements:

ICF Day Habilitation – Level 1, with an add-on increase from $0.10 to $0.30, the highest level within the scope of appropriations for this purpose.
ICF Residential – Level 9, the highest level within the scope of appropriations for this purpose. 

Participating providers in state fiscal year 2023 that did not submit an Enrollment Contract Amendment and did not have an imposed limitation will maintain the previous year’s enrollment status.

Awarded enhancement levels will not be entered into the Claims Management System until after your first billing cycle of the new state fiscal year. If your awarded enhancement level is different from your current enhancement level, this will result in retroactive rate adjustments for any September 2023 claims paid before your new level is entered into the system.

If you have questions regarding your 2024 enrollment status, please contact the LTSS Center for Information and Training (CIT).

Effective: 09/01/2023

View participation status - levels awarded list (.pdf)

NF - Nursing Facility

For state fiscal year 2024, additional rate enhancement levels awarded above pre-existing levels were limited by available appropriations. Current appropriations did not support an increase above current levels for participating providers. New contracts requesting to enter into the rate enhancement program were awarded enhancements at level 1, the highest level within the scope of appropriations for this purpose. Participating providers in state fiscal year 2023 that did not submit an Enrollment Contract Amendment and did not have an imposed limitation will maintain the previous year’s enrollment status.

Awarded enhancement levels will not be entered into the Claims Management System until after your first billing cycle of the new state fiscal year. If your awarded enhancement level is different from your current enhancement level, this will result in retroactive rate adjustments for any September 2023 claims paid before your new level is entered into the system.

If you have questions regarding your 2024 enrollment status, please contact the LTSS Center for Information and Training (CIT).

Effective: 09/01/2023

View participation status - levels awarded list (.pdf)

RC - Residential Care

For state fiscal year 2024, additional rate enhancement levels awarded above pre-existing levels were limited by available appropriations. Providers requesting to increase their enhancement participation level were awarded enhancements up to level 32, the highest level within the scope of appropriations for this purpose. Participating providers in state fiscal year 2023 that did not submit an Enrollment Contract Amendment, and did not have an imposed limitation, will maintain the previous year’s enrollment status.

Awarded enhancement levels will not be entered into the Claims Management System until after your first billing cycle of the new state fiscal year. If your awarded enhancement level is different from your current enhancement level, this will result in retroactive rate adjustments for any September 2023 claims paid before your new level is entered into the system.

If you have questions regarding your 2024 enrollment status, please contact the LTSS Center for Information and Training (CIT).

Effective: 09/01/2023

View participation status - levels awarded list (.pdf)