Home and Community Based Services (HCS)

Overview

HCS provides individualized services and supports to persons with intellectual and developmental disabilities who are living with their family, in their own home or in other community settings, such as small group homes.

Reporting Information

Cost Reports

View 2019 Cost Reporting Information
View 2018 Cost Reporting Information
View 2017 Cost Reporting Information

Rate Enhancement Reports

View 2020 Accountability Report
View 2019 Accountability Report
View 2018 Accountability Report - Multipurpose Information

Methodology/Rules

Cost Determination Process Rules applicable to the Home and Community Based Services program are located at Title 1 of the Texas Administrative Code, Part 15, Chapter 355, SubChapter A, Rules 101-114.

The Home and Community Based Services (program-specific) Cost-Finding Methodology is located at Title 1 of the Texas Administrative Code, Part 15, Chapter 355, SubChapter F, Rules 722-725.

The Home and Community Based Services Rate Model discussed in the rules above may be accessed in the Payment Rate Information tab.

Payment Rate Information

For temporary COVID-19 rate increases, please visit the Main RAD-LTSS webpage here

Medicaid Spending Requirement, Opt Out Information

Rate Model Factors and Calculations

View 2008 - 2009 HCS  (.pdf)
View 2010 HCS  (.pdf)

Payment Rates

Effective September 1, 2020 to current (.pdf)
Effective January 8, 2020 (.pdf)
Effective September 1, 2019 (.pdf)
Effective September 1, 2017 (.pdf)
Effective September 1, 2015 (.pdf)
Effective April 1, 2014 (.pdf)
Effective September 1, 2013 (.pdf)
Effective September 1, 2011 (.pdf)
Effective February 1, 2011 (.pdf)
Effective September 1, 2010 (.pdf)
Effective June 1, 2010 (.pdf)
Effective October 1, 2009 (.pdf)
Effective September 1, 2008 (.pdf)
Effective February 1, 2008 (.pdf)
Effective June 1, 2007 (.pdf)
Effective September 1, 2003 (.pdf)

Rate Enhancement - Attendant Compensation

View 2021 Rate Enhancement - Attendant Compensation Information
View 2020 Rate Enhancement - Attendant Compensation Information
View 2019 Rate Enhancement - Attendant Compensation Information

Training Information

View Cost Report Training information
View Rate Enhancement Enrollment Training information