Adult Foster Care (AFC)

What is Adult Foster Care?

Adult Foster Care (AFC) provides a 24-hour living arrangement with supervision in an adult foster home for people who are unable to continue living independently in their own homes because of physical, mental or emotional limitations. AFC providers and residents must live in the same household and share a common living area. With the exception of family members, no more than three adults may live in the foster home unless it is licensed by the state. The client pays the provider for room and board.

Provider Communications

Click here for news, information letters (ILs) & provider letters (PLs).

Contact Program Staff

How to Become a Provider

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 (TAC) as follows:

A person wishing to serve 4 people must obtain a Texas Health and Human Services assisted living license Type C. Aperson wishing to serve more than 4 people must obtain an HHSC assisted living license type A. Rules regarding licensing requirements can be found in Title 26TAC as follows:

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

A person 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 on:

The required application documents may be downloaded for completion. Please contact your local Contact Information for Eligibility Operations Provider Contract Management (PDF) to obtain the mailing address to submit completed documents.

If you prefer the required application documents be mailed to you, please contact your local Contact Information for Eligibility Operations Provider Contract Management (PDF) to request an application packet and obtain the mailing address to submit completed documents.

Statutes & Rules

State

Federal

Other Rules and Statutes

Communications

Information & Provider Letters

Case-sensitive. Use commas to separate multiple entries.
Note: These files are in PDF format unless otherwise noted.
Number Title/Notes Date Published
IL 2020-35 Fiscal Year 2020 Cutoff Date for Year-end Closeout Processing
IL 2020-24 Preparing for the Upcoming Fiscal year 2020 Fee-for-Service Claims Billing Closeout
IL 2020-20 Requirement to Complete DIR-Certified Cybersecurity Training Program -- Due April 30, 2020
IL 2015-37 Preparing for the Upcoming Fiscal Year 2015 Fee-for-Service Claims Billing Closeout
IL 2014-77 STAR+PLUS Managed Care Resource Information for Transitioned Community Based Alternatives, Primary Home Care and Day Activity Health Services Providers
IL 2014-74 Contract and Fiscal Compliance Monitoring Updated Negative Billing Procedures

Note: Replaces IL 13-28
IL 2014-70 Adult Foster Care Second-story Evacuation
IL 2014-49 Billing Process for Long-Term Services and Supports Providers Transitioning to STAR+PLUS
IL 2014-24 Reassessment Process in Preparation of STAR+PLUS Expansion in Rural Service Areas
IL 2014-23 Expansion of the STAR+PLUS Medicaid Managed Care Program to the Medicaid Rural Service Areas