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Deaf-blind Multiple Disabilities Waiver (DBMD)

Overview

Deaf-Blind Multiple Disabilities Waiver (DBMD) program provides home and community-based services to people who are deaf blind with multiple disabilities as a cost-effective alternative to institutional placement. The program focuses on increasing opportunities for consumers to communicate and interact with their environment.

Reporting Information

Cost and Accountability Reports

View Cost and Accountability Reporting Information

Methodology/Rules

The Texas Deaf Blind Multiple Disabilities Waiver (DBMD) (program-specific) Reimbursement Methodology is located at Title 1 of the Texas Administrative Code, Part 15, Chapter 355, Subchapter E, Rule §355.513.

Cost Determination Process Rules applicable to the Deaf Blind Multiple Disabilities Waiver (DBMD) program are located at Title 1 of the Texas Administrative Code, Part 15, Chapter 355, Subchapter A, Rules 101-112 and 114.

Rules pertaining to the maintenance of contractor records for the Deaf Blind Multiple Disabilities Waiver (DBMD) program are located in Title 40 of the Texas Administrative Code, Part 1, Chapter 49, Subchapter C, Rule §49.305 and Rule §49.307.

Rules pertaining to the Attendant Compensation Rate Enhancement are located at Title 1 of the Texas Administrative Code, Part 15, Chapter 355, SubChapter A, Rule 112.

Payment Rate Information

Effective September 1, 2024 (.pdf)

Previous Payment Information 

Effective September 1, 2023 (.pdf)
Effective January 1, 2023 (.pdf)
Effective September 1, 2022 (.pdf)
Effective March 1, 2022 (.pdf)
Effective September 1, 2019 (.pdf)
Effective September 1, 2013 (.pdf)
Effective September 1, 2012 (.pdf)
Effective September 1, 2011 (.pdf)
Effective February 1, 2011 (.pdf)
Effective June 15, 2010 (.pdf)
Effective May 1, 2010 (.pdf)
Effective November 1, 2009 (.pdf)
Effective October 1, 2009 (.pdf)
Effective September 1, 2009 (.pdf)
Effective August 1, 2009 (.pdf)
Effective September 1, 2008 (.pdf)
Effective August 1, 2008 (.pdf)
Effective January 1, 2008 (.pdf)
Effective September 1, 2007 (.pdf)
Effective August 1, 2007 (.pdf)
Effective September 1, 2005 (.pdf)
Effective September 1, 2004 (.pdf)
Effective September 1, 2003 (.pdf)
Effective September 1, 2002 (.pdf)
Effective September 1, 2001 (.pdf)
Effective September 1, 2000 (.pdf)

Rate Enhancement - Attendant Compensation

View 2025 Rate Enhancement - Attendant Compensation Information
View 2024 Rate Enhancement - Attendant Compensation Information
View 2023 Rate Enhancement - Attendant Compensation Information

Training Information

View Cost Report Training Information