14100, Long-Term Care Regulatory, HCS and TxHmL Overview

Revision 22-1; Effective February 4, 2022

The Home and Community-based Services (HCS) and Texas Home Living (TxHmL) waiver program providers undergo certification surveys completed by HHSC Long-Term Care Regulatory (LTCR) to ensure compliance with the certification principles located in the Texas Administrative Code (TAC). LTCR conducts initial certification and annual recertification surveys for contracts operated by program providers. In addition to these surveys, LTCR also completes residential visits for Host Home/Companion Care and three- and four-person residences in the HCS program. LTCR also reviews complaints and deaths in the HCS, TxHmL, and Deaf Blind with Multiple Disabilities (DBMD) waiver programs and follows up on abuse, neglect and exploitation (ANE) allegations related to individuals served in the HCS and TxHmL waiver programs.