HHSC Releases New Payment Rates for Personal Attendant Services Across Programs

Starting September 1, 2025, HHSC has signed off on new payment rates for personal attendant services, effective September 1, 2025. The update isn’t limited to one program; it stretches across nearly the entire system. Assisted Living Facilities (ALF) and the CLASS waiver are included, as are Community First Choice (CFC) and Day Activity and Health Services (DAHS). The Deaf-Blind with Multiple Disabilities waiver (DBMD) is part of the change as well.

They also extend to Home and Community-Based Services for Adult Mental Health (HCBS-AMH), the HCS waiver, and Intermediate Care Facilities for Individuals with Intellectual or Related Conditions (ICF/IID). In addition, Personal Care Services (PCS), Primary Home Care, Community Attendant Services, Family Care (PHC, CAS, FC), and Residential Care (RC) are covered.

The rate changes further include STAR Kids and STAR Health programs, the Medically Dependent Children’s Program (MDCP), and state plan services, along with STAR+PLUS HCBS and non-HCBS programs. The Texas Home Living waiver (TxHmL) is also part of the update.

HHSC has issued Information Letter (IL) 2025-17 detailing the approved payment rates for these services. Additional details are available on the HHSC Provider Finance Department web page.

Providers are encouraged to review the IL for complete information. For further questions, they may contact HHSC PFD, Long-term Services and Supports (LTSS), Center for Information and Training at PFD-LTSS@hhs.texas.gov or call (737) 867-7817.