TX Implementation of Acute Care Services and the Long-term Services and Supports System Redesign


“Government Code Chapter 534 directs the Health and Human Service Commission (HHSC) to design and implement an acute care and LTSS system for individuals with IDD to improve outcomes; improve access to quality, person-centered, efficient, and cost-effective services; and implement a capitated, managed care delivery system and the federal Community First Choice Option (CFC). Chapter 534 also created the IDD System Redesign Advisory Committee (IDD SRAC) to advise HHSC in the development and implementation of the system redesign. HHSC transitioned some clients to a managed care model for acute care services.

On September 1, 2014, some adult Medicaid recipients with IDD transitioned to the STAR+PLUS managed care program. On November 1, 2016, children under 21 with disabilities, including IDD, were enrolled in the STAR Kids managed care program. Children and adults in IDD programs receive most LTSS in fee-for-service (FFS). Per Government Code Section 534.201, HHSC will transition the Texas Home Living (TxHmL) waiver program to managed care in 2020, and other IDD waivers and intermediate care facility for individuals with an intellectual disability or related condition (ICF/IID) services in 2021.”

State Policies & Initiatives: 
  • Department of Intellectual and Developmental Disabilities
  • Home and Community Based Services (HCBS)
Date Enacted: