CC Rate Resource Home

The Texas Health and Human Services Commission (HHSC) has finalized the implementation of new Community Care rates, effective September 1, 2025, as part of the legislative direction provided during the 88th Texas Legislature. These changes impact reimbursement rates for direct care and attendant care services in Medicaid programs and conclude the legacy Rate Enhancement program structure.

What is different?

  • No minimum wage requirement effective 9-1-25.

  • ACRE has been eliminated 9-1-25.

  • Funds were appropriated to provide an average wage of $13/hour with 14% payroll tax and benefits but require no minimum wage. The total varies by program.

  • Providers will be included in an annual report to the legislature if spending for the attendant, in the aggregate, by program, is less than 90% of the attendant cost area.

   

MEMBERS ONLY RESOURCES

The following resources are available to TAHC&H Members only. Please make sure you are logged in to access:

CC FAQs Rate Changes - 4th Edition

TAHC&H COMMUNICATIONS

The following resource is available to TAHC&H members only. Please ensure you are logged in to access the content. This section provides links to updates we've shared across TAHC&H platforms, including Open Forum posts, Perspective articles, and discussions within the TAHC&H Communities. You’ll find a consolidated digest of all discussions and posting dates here for easy reference.

Attendant Rate Roll Out Update - November 7, 2025

HHSC: Final Status update on IDD waiver rate/cost limit amendments - August 29, 2025

September 1st Changes for Medicaid – August 19, 2025 

TAHC&H Submits Public Comments on Proposed Rules Regarding Reimbursement Rates – August 1, 2025 

Community Care FAQs - Rate Changes – July 18, 2025 

TAHC&H Testifies at Public Hearing in Support of Timely Rate Implementation for Attendant Services – July 18, 2025 

TAHC&H Public Comments - Public Hearing on Proposed Medicaid Payment Rate Actions for Attendant Services in Programs, Effective September 1, 2025 - July 16, 2025 

HHSC releases ACRE elimination Information Letter – June 24, 2025 

Community Care Rate Transition Update – June 23, 2025 

89th Legislative Session Summary – June 20, 2025 

TAHC&H Leads the Charge as Texas Legislature Delivers Historic Investments in Home and Community-Based Services – June 20, 2025 

State: Texas Legislature Releases Conference Committee Decisions – May 29, 2025 

HHSC RESOURCES

HHSC Resources

Public Hearing & Recording 

Provider Letters / Information Letters

Evaluation of Rate Enhancement Programs 

To support this transition, HHSC published the Evaluation of Rate Enhancement Programs 2024 report, which assesses the outcomes and fiscal impacts of enhancement payments historically used to incentivize direct care worker wage increases. 

MCO RESOURCES

Superior Healthplan
Community First Health Plan