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 2020-17 Guidance on COVID-19 in Inpatient Hospice Units 3/21/2020
PL 2020-20 Incident Submission Portal for Long-Term Care (LTC) Providers under Texas Unified Licensure Information Portal (TULIP) 3/20/2020
PL 2020-21 Suspension of Certain LTCR Requirements during COVID-19 Outbreak 3/20/2020
PL 2019-19 Retired Survey and Certification Clarification Letters 10/10/2019
PL 2019-11 New Policy, Rules and Training Mailbox 4/23/2019
PL 2019-05 Retired Home and Community Support Services Agencies Provider Letters 4/10/2019
PL 2019-01 Acceptable Documentation for a Criminal History Check
Note: Replaces PL 09-05 and PL 13-02
1/4/2019
PL 2018-26 Providing Access to Electronic Health Records
Note: Replaces PL 18-10
12/10/2018
PL 2018-25 Delayed-Egress Locks 11/26/2018
PL 2018-20 Incident Reporting Requirements
Note: Replaces PL 13-04 and PL 18-07
9/17/2018

Information Letters

All letters are in PDF format.

Keywords in title or number
Number Title Date Published
IL 2020-17 Requirement to Complete DIR-Certified Cybersecurity Training Program -- Due April 30, 2020 4/20/2020
IL 2015-78 Medicaid Hospice Service Intensity Add-on Payment 12/31/2015
IL 2015-79 Increased Medicaid Hospice Routine Home Care Payment Rates 12/31/2015
IL 2015-70 New Billing Codes and Payment Rates for Hospice Physician Directed Care Claims 10/21/2015
IL 2015-62 Time Frame for Submission of Records Requested By the Texas Department of Aging and Disability Services Hospice Utilization Management and Review 9/25/2015
IL 2015-63 Implementation of the International Classification of Diseases, Tenth Revision, Clinical Modification 9/25/2015
IL 2015-47 Use of Nonspecific International Classification of Diseases Codes and Changes to the Texas Medicaid & Healthcare Partnership Online Portal Concerning Principal Hospice Diagnoses 8/11/2015
IL 2015-48 Amendments to Title 40 Texas Administrative Code, Chapter 30, §30.14, Certification of Terminal Illness and Record Maintenance 8/11/2015
IL 2015-37 Preparing for the Upcoming Fiscal Year 2015 Fee-for-Service Claims Billing Closeout 6/24/2015
IL 2015-12 Nursing Facility Managed Care Transition: Selection of a Managed Care Organization Required by Individuals Receiving Hospice Services 2/18/2015