August 2, 2019 - 3:00pm

Health and Human Services Commission, Brown-Heatly Building, Public Hearing Room
4900 N. Lamar Boulevard
Austin, TX 78751

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Webcasting Available

Entry is through security at the main entrance of the building facing Lamar Boulevard.

Hearing. There are currently no draft or proposed rules.  The Texas Health and Human Services Commission (HHSC) will conduct a public hearing to receive comment on proposed payment rates for the non-state operated Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IIDs). The proposed rates will be effective September 1, 2019.

The public hearing will be held in compliance with Texas Human Resources Code §32.0282, which requires public notice of and hearings on proposed Medicaid reimbursements. HHSC will broadcast the public hearing. Persons watching remotely can submit written comments. The broadcast can be accessed at, and will be archived for access on demand at the same website.

Proposal. HHSC proposes to increase the following payment rates for non-state operated ICF/IIDs in accordance with the 2020-21 General Appropriations Act, H.B. 1, 86th Legislature, Regular Session, 2019, (Article II, HHSC Rider 44).

Setting and Level of Need (LON) Proposed Rate

Small LON 1


Small LON 5


Small LON 8


Small LON 6


Medium LON 1


Medium LON 5


Medium LON 8


Medium LON 6


Large LON 1


Large LON 5


Large LON 8


Large LON 6


Methodology and Justification. The proposed payment rates were calculated in accordance with Title 1 of the Texas Administrative Code §355.456, relating to the reimbursement methodology for ICF/IIDs.

Briefing Package. A briefing package describing the proposed payment rates will be available at on or after July 19, 2019. Interested parties may obtain a copy of the briefing package before the hearing by contacting the HHSC Rate Analysis Department by telephone at (512) 424-6637; by fax at (512) 730-7475; or by e-mail at The briefing package will also will be available at the public hearing.

Written Comments. Written comments regarding the proposed payment rates may be submitted in lieu of, or in addition to, oral testimony until 5:00 p.m. the day of the hearing. Written comments may be sent by U.S. mail, overnight mail, special delivery mail, hand delivery, fax, or e-mail.

U.S. Mail
Health and Human Services Commission
Rate Analysis Department, Mail Code H-400
P.O. Box 149030
Austin, Texas 78714-9030

Overnight mail, special delivery mail or hand delivery
Health and Human Services Commission
Rate Analysis Department, Mail Code H-400
Brown-Heatly Building
4900 North Lamar Blvd.
Austin, Texas 78751-2316

Phone number for package delivery: (512) 730-7401

Attention: Rate Analysis at (512) 730-7475


Persons with disabilities who wish to attend the hearing and require auxiliary aids or services should contact Rate Analysis at (512) 424-6637 at least 72 hours prior to the hearing so appropriate arrangements can be made.