The Texas Health and Human Services Commission (HHSC) is implementing the American Rescue Plan Act (ARPA) Home and Community-Based Services (HCBS) Provider Retention payments. These payments aim to support recruitment and retention efforts for direct care staff delivering HCBS services. Eligible providers can use the temporary add-on to provide one-time financial compensation directed toward direct care staff, such as lump-sum bonuses, retention bonuses, and paid time off for COVID-19 vaccination or isolation. The temporary rate add-on will be made on eligible HCBS service claims with dates of service between March 1, 2022, and August 31, 2022. Providers must submit an attestation, an initial report, and a final report, with the attestation and initial report due on August 15, 2022. Providers who do not submit the required reports will be subject to recoupment of all HCBS ARPA funds. Nursing homes and healthcare facilities can access more information about the required attestation and reporting on the HHSC Provider Finance website.

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