HHSC Releases New Payment Rates for Personal Attendant Services Across Programs

Aug 25, 2025

2 minutes

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.

Services

Credentialing

Credentialing is the rigorous process of verifying a healthcare provider’s qualifications, including their education, training, licenses, and clinical experience. This service ensures that practitioners meet the high standards required by insurance networks and hospitals to provide care and receive reimbursement.

Billing & Collection

Billing and Collection service involves confirming a patient’s insurance coverage, active status, and specific benefits before their appointment. By identifying co-pays, deductibles, and required prior authorizations upfront, staff can prevent claim denials and help patients understand their financial responsibilities.

Eligibility Verification

Eligibility verification is the process of verifying a patient’s health insurance coverage and benefits to determine what services are covered and the level of coverage available. This process is essential for healthcare providers to ensure that they receive proper reimbursement for services rendered and that patients are not left with unexpected medical bills.

Revenue Cycle Management

RCM is the financial process that manages the entire lifecycle of a patient’s account, from the initial appointment scheduling to the final balance payment. It integrates eligibility, coding, billing, and collections into a single, cohesive workflow aimed at maximizing a practice's profitability.

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