Hospice

All COVID-19 information can be found in the COVID-19 accordion below.

What is Hospice?

COVID-19 Resources

Communications

Please click here for Provider Communications.

Don't Miss Out on Emails from HHS

The Texas Health and Human Services Commission contracts with a company called Granicus to provide email updates, called GovDelivery. In accordance with your contract, and contracting rules at 40 Texas Administrative Code §49.302(g), you must subscribe to receive HHSC email updates, using this GovDelivery signup, and select Information Letters, Provider Alerts and the contract program type(s).

When you sign up for email updates, you are giving your information to both HHSC and to Granicus. When HHSC has your information, it is subject to the HHSC privacy policy. When Granicus has your information, it is subject to the Granicus GovDelivery privacy policy.

Contact Program Staff

How to Become a Provider

Hospice providers must be licensed as a Home and Community Support Services Agency and have a contract with the Texas Health and Human Services Commission to provide Medicaid hospice services. Rules regarding minimum licensing standards for a HCSSA can be found in Title 26 of the Texas Administrative Code as follows:

For more information about the HHSC provider enrollment process and requirements, please click here.

Open Enrollment Process

The Texas Health and Human Services Commission accepts applications through its open enrollment process to contract for the Hospice Medicaid program. Under the open enrollment process, HHSC awards contracts on a noncompetitive basis to eligible applicants meeting the qualifications and other requirements.

Applications for Hospice can be submitted year-round with no deadline. Hospice program provider applicants must complete the application packet and include all required documents in accordance with HHSC instructions.

Contracting to Provide Services

To be eligible to provide services and receive reimbursement for these services, a provider agency must meet certain eligibility criteria. Rules regarding program and contracting requirements can be found in Title 40 of the Texas Administrative Code as follows:

For more information about the HHSC provider enrollment process and requirements, please click here.

An individual or provider agency must complete an application to provide services in the Community Services programs. Once you have met the minimum eligibility criteria, you may review the required application documents at:

The forms may be downloaded for completion. Completed forms and any additional required information should be mailed to:

Regular mail

Texas Health and Human Services Commission
Contract Administration and Provider Monitoring - Waiver Program Enrollments
Mail CodeW-359
P.O. Box 149030
Austin, TX 78714-9030

Overnight/Express delivery
Texas Health and Human Services Commission
Contract Administration and Provider Monitoring - Waiver Program Enrollments
Mail Code W-359
701 West 51st St.
Austin, TX 78751

Should you have any questions regarding the enrollment process for these programs, contact Contract Administration and Provider Monitoring - Waiver Program Enrollments at 512-438-3234.

Regulatory Comment Card Survey

Seeking an Initial Parent or Alternate Delivery Site License?

Applicants seeking an initial parent or alternate delivery site license to provide licensed and certified hospice services (authorization to provide services to Medicare beneficiaries) should read Provider Letter 201515-10, Direction from the Centers for Medicare & Medicaid Services on Prioritization of Initial Medicare Certification Surveys (PDF).

Statutes & Rules

Communications

Provider Letters

All letters are in PDF format.

Keywords in title or number
Number Title Date Published
PL 2021-37 Administrator and Alternate Administrator Requirements
Note: Replaces PL 15-17 and PL 16-16
10/15/2021
PL 2021-29 End of Temporary Suspension of Certain LTCR Requirements During COVID-19 Outbreak
Note: Replaces PL 2020-21 and 2020-26. Revised September 14, 2021.
8/13/2021
PL 2021-24 HCSSA COVID-19 Vaccination Authority for Home Health and Hospice Agencies 6/8/2021
PL 2021-14 Status of an Active License During a Renewal Process
Note: Replaces PL 2019-18
4/6/2021
PL 2020-49 Process to Request Free COVID-19 Point of Care Antigen Test Kits
Note: Revised March 25, 2021
3/25/2021
PL 2020-54 Guidance for Activities, Dining, and Volunteers 11/23/2020
PL 2020-47 Reporting Guidance for Long-Term Care Providers - Point-of-Care Antigen Testing 10/26/2020
PL 2020-39 COVID-19 Response - Reopening Visitation 9/25/2020
PL 2020-35 Screening for COVID-19 and Documentation of Screening 7/20/2020
PL 2020-28 Volunteer Portal 4/27/2020

Information Letters

All letters are in PDF format.

Keywords in title or number
Number Title Date Published
IL 2021-48 Acceptable Documentation for a Criminal History Check 10/20/2021
IL 2021-43 Update to Information Letter No. IL 20-37 Telemedicine Flexibility for Face-to-Face Reassessments 9/13/2021
IL 2021-36 Fiscal Year 2021 Cutoff Date for Year-end Closeout Processing 7/30/2021
IL 2021-27 Preparing for the Upcoming Fiscal Year 2021 Fee-for-Service Claims Billing Closeout 5/28/2021
IL 2021-09 Handling of Sensitive Personal Information and Breach Notification
Note: Replaces IL 2012-86
2/24/2021
IL 2021-02 Federal Fiscal Year 2021 Payment Rates for Medicaid Community Hospice 1/5/2021
IL 2020-35 Fiscal Year 2020 Cutoff Date for Year-end Closeout Processing 8/7/2020
IL 2020-37 Telemedicine Flexibility for Face-to-Face Reassessments 8/4/2020
IL 2020-34 Temporary Emergency Rate Increases for the Nursing Facility program, including Hospice services provided in the Nursing Facility setting, Effective April 1, 2020
Note: Replaces IL 2020-31
7/17/2020
IL 2020-24 Preparing for the Upcoming Fiscal year 2020 Fee-for-Service Claims Billing Closeout 6/12/2020