September 23, 2019 - 9:00am

Health and Human Services Commission,Brown-Heatly Building, Public Hearing Room
4900 North 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. The Texas Health and Human Services Commission (HHSC) will conduct a public hearing to receive comment on proposed proxy rate increases for the following managed care attendant services:

STAR Kids, including:
Adult Day Care;
Personal Care Services (PCS) Habilitation Community First Choice (CFC) Service Responsibility Option (SRO);
PCS Attendant Care CFC SRO;
PCS Behavioral Health (BH) Condition SRO;
In Home Respite Attendant CDS and SRO;
In Home Respite Attendant with Registered Nurse (RN) Delegation CDS and SRO;
Flexible Family Support Attendant SRO; and
Flexible Family Support Attendant with RN Delegation CDS and SRO.

STAR+PLUS, including:
Day Activities and Health Services (DAHS) Home and Community-based Services (HCBS) and Non-HCBS;
In-Home Respite CDS and SRO HCBS;
Personal Assistance Services (PAS) Agency Model HCBS, CDS HCBS, and SRO HCBS;
PAS Agency model Non-HCBS, CDS Non-HCBS and SRO Non-HCBS;
PAS Agency model Non-HCBS CFC, CDS Non-HCBS and SRO Non-HCBS;
CFC PAS Protective Supervision Agency Model HCBS, CDS HCBS and SRO HCBS;
Habilitation (HAB) services Agency Model HCBS CFC, CDS HCBS CFC and SRO HCBS CFC; and
HAB services Agency Model Non-HCBS CFC, CDS Non-HCBS CFC, and SRO Non-HCBS CFC.

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 it will be archived for access on demand at the same website. 

Proposal. HHSC proposes to increase the attendant base wage to $8.11 for the attendant cost component for the attendant services listed above in accordance with the 2020-21 GAA (Article II, HHSC, Rider 45). These proxy rates are proposed to be effective September 1, 2019.

Methodology and Justification. The proposed proxy rates were calculated in accordance with Title 1 of the Texas Administrative Code:

§355.112, concerning Attendant Compensation Rate Enhancement;

§355.9090, concerning Community First Choice; and

§355.507, concerning the Reimbursement Methodology for the Medically Dependent Children Program.

Briefing Package. A briefing package describing the proposed proxy rates will be available at on September 13, 2019. Interested parties may obtain a copy of the briefing package prior to 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 proxy 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.