MedicaidAdministrativeMedium impact
HHSC Request Comments on the Texas Home Living Renewal Effective March 1, 2027
Texas Medicaid·TX·General
Effective date
Mar 1, 2027
We identified it
Aug 15, 2026
Summary
Texas HHSC is accepting public comments on the renewal of the 1915(c) Texas Home Living Waiver (TxHmL), which will become effective March 1, 2027. This is a renewal of an existing Medicaid waiver program that provides home and community-based services. The billing team should monitor this renewal process as it may affect covered services, reimbursement rates, or billing requirements for TxHmL beneficiaries.
Action Required
By September 14, 2026: Billing and compliance staff should review the TxHmL Waiver Renewal details (available at the HHSC website) to identify any changes to covered services, billing codes, or reimbursement rates that will be effective March 1, 2027. If your practice serves TxHmL beneficiaries, consider submitting comments to the Texas Medicaid Waivers inbox (tmhp@tmhp.com based on policy source) if you have concerns about proposed changes. Beginning January 2027: Update billing system, fee schedules, and provider documentation requirements to reflect any final changes to the TxHmL renewal. Do not wait until March 1—prepare systems 60 days in advance to avoid claim denials for TxHmL members.