This amendment eliminates limits on adult dental services, which were previous capped at $1,500 per year per member.

This plan proposes to revise reimbursement fees for OPWDD Day Treatment services to reflect changes in costs and service providers.

The purpose of the amendment is to update the rate methodology and payment rates for Personal Care Services (PCS) in support of increasing the base wage for certain personal attendants under Medicaid and other programs administered by HHSC to $10.60 per hour, in accordance with the 2024-25 General appropriations Act, House Bill 1, 88th Texas Legislature, Regular Session, 2023 (Article II, HHSC, Rider 30(a)).

This amendment proposes to increase the annual dental cap for adults from $1,000 to $1,500 and to allow emergency dental services for adults to be covered after the annual cap on dental expenditures has been met.

This amendment proposes to add targeted case management coverage for the Sustained Family Support Home Visiting Program using the evidence-based home visiting model, Parents as Teachers (PAT).

This SPA proposes to amend the state's excluded drug coverage listing.