HHSC licenses nursing facility administrators (NFAs) and enforces professional standards. Email forms to the NFA Licensing Program.
TULIP NFA Licensing System
As of Feb. 28, 2022, licensees and applicants must apply through the Texas Unified License Information Portal (TULIP), a web-based system designed specifically for licensed long-term care providers and licensees. TULIP allows NFAs to complete all licensing and application functions online.
Check NFA Licensure Status
Read page 52 of the user guide (PDF) for additional assistance.
FAQs Related to the New TULIP Credentialing System
HHSC implemented a new credentialing system in TULIP on July 5, 2023. This transition has resulted in issues that have affected individuals trying to use the system. HHSC IT is working diligently on correcting these issues.
The following are some of the frequently asked questions HHSC has received:
What do I do if I have problems with registering in TULIP?
If you’re experiencing registration issues, email TULIP Support.
Who do I contact if I can’t generate or submit an application?
When I report a technical issue to TULIP Support, what information should I include?
For technical support issues, read How to Report TULIP Technical Support Issues (PDF).
In all cases, the following information will help IT answer your question or resolve your problem:
- Provide a detailed description of the question or problem, including USERID, Facility/Agency license number (if licensed), NFA License (if applicable), application number, form number, screen and other details.
- Include screenshots if possible. Don't include personally identifiable information, HIPAA protected information, or other protected data.
- Please provide a call-back number in case we need to contact you to discuss the issue.
Is there a resource for more information regarding TULIP?
How long should it take to receive a response from TULIP Support?
Who do I contact if I have questions about information I need to enter into an application?
For questions about the application process, use the following contacts:
- Nurse Aide:
NA Call Center: 512-438-2050
- Medication Aide:
MA Call Line: 512-438-2025
- Nursing Facility Administrator:
NFA Call Line: 512-438-2015
- Nurse Aide Training and Competency Evaluation Program:
NATCEP Call Line: 512-438-2017
How long will I have to wait if I call the Nurse Aide Registry Call Center?
The call center is currently experiencing a large volume of calls, and the wait time can be up to three hours. Note that the system automatically disconnects all calls still in queue at the end of the day.
Is there any training available regarding the new TULIP credentialing system?
TULIP Computer Based Trainings:
- Initial Application
- Renewal Application
- NATCEP: Nurse Aide Training and Competency Evaluation Program (NATCEP)
- TULIP Walkthrough – New and Renewal Applications for NATCEP
TULIP Walkthrough CBT – Overview, Registration and Login, CNA Application Renewal, Application for Examination, Facility Security, Requesting a Retest.
TULIP Credentialing Transition Grace Period Extended
Nurse Aides (NAs), Medication Aides (MAs), NFAs, and Nurse Aide Training Competency Evaluation Programs (NATCEPs) are now required to use the new credentialing system in TULIP for licensing certification or permitting activities.
HHSC is extending a grace period for all NAs, MAs, NFAs and NATCEPs to allow users time to learn and understand the new credentialing system. All NAs certifications, MA permits, NFA licenses and NATCEP approvals active on June 16, 2023, will be considered active until April 30, 2024.
- For registration issues in TULIP, email HHSC TULIP Support.
- For NA questions, email HHSC Nurse Aide Registry.
- For MA questions, email HHSC Medication Aide Program.
- For NFA questions, email HHSC NFA Licensing Program.
- For NATCEP questions, email HHSC Regulatory NATCEP.
Infection Control and PPE for NFAs Computer-based Training
- This course is designed to increase infection control knowledge in long-term care settings. All knowledge gained from this training can be directly applied to the NFA role.
- The course is designed for NFAs to meet the Continuing Education Requirements for License Renewal for Infection Control (IC) and PPE.
- To document successful course completion, participants must print a copy of the course certificate available at the end of the training and keep the certificate for documentation purposes.
Your computer must have the following:
- The pop-up blocker turned off to access the course.
- Microsoft Edge, Google Chrome, Firefox or Safari. (We suggest not using Internet Explorer, as your certificate may not populate. If this happens you will need to retake the course on a different web browser to obtain credit.)
- The ability to print or save your learning certificate as a PDF.
To take a training, click on a link below:
- Module 1: Infection Prevention Control Program
- Module 2: Recognizing and Containing Outbreaks
- Module 3: Standard and Transmission-based Precautions
- Module 4: Environmental Cleaning and Disinfection
- Email Policy Rules Training with technical issues.
- Ensure all pop-up blockers are turned off before taking any of the web-based courses.
Check NFA Licensure Status
Read page 15 of the user guide (PDF) for additional assistance.
Veterans, Military Members and Spouses
The state of Texas recognizes the contributions of our military service members and their spouses and veterans.
Military service members or veterans may have met some licensing requirements resulting from their military service or other training, knowledge and experience. Military spouses of current, active duty military service members also may have met some licensing requirements related to this status. Modifications to renewal requirements may also be available for some military service members on active duty.
For more information regarding special licensure provisions, military service members, military veterans or military spouses may qualify for, please read Senate Bill 1307, 84th Regular Legislative Session, 2015.
Military personnel and their spouses and veterans who are interested in the NFA occupation and would like additional information regarding requirements may contact HHSC via email or call 512-438-2015.
We extend our heartfelt thanks to military service members, veterans, and their families for their dedicated service to the U.S. and to the state of Texas.
About HHSC NFA
NFA licensing activities are conducted by the HHSC NFA Licensing Branch and include:
- Validating initial and continuing education
- Providing seminars for administrators in training preceptors
- Taking licensure action to include issuance, renewal, denial or revocation
For more information, call 512-438-2015.
Credentialing and Registry Enforcement (CARE)
The Credentialing and Registry Enforcement unit conducts NFA enforcement activities, including:
- Imposing and monitoring sanctions.
- Coordinating program activities with the governor-appointed NFA Advisory Committee.
For public complaints against a nursing facility administrator contact Complaint and Incident Intake at 1-800-458-9858.
Send questions regarding adverse actions against an NFA license to CARE@hhs.texas.gov.
For more information, call 512-438-5495.
Interested in the licensing process for assisted living facilities (ALF) in Texas? Read How to Become an ALF Provider to learn more.