October 1, 2020

HHSC has published IL2020-42 Residential Services During COVID-19 (PDF).

Some people living in a three-person or four-person home are staying with family during the COVID-19 public health emergency. If someone is away from a three-person or four-person home for more than 14 consecutive days a program provider cannot bill for residential support or supervised living. This is due to the HCS Billing Guidelines.

HHSC is seeking approval from the Centers for Medicare and Medicaid Services to make retainer payments to HCS program providers during the PHE for residential support and supervised living for up to 90 days a person is absent from the residence more than the 14-consecutive day period. If CMS approves, HHSC will provide information to program providers about billing retainer payments:

  • For the period of March 20 through Oct. 23, 2020.
  • The conditions a program provider must meet to receive the payments.