HCFR Guidance Letters

Case-sensitive. Use commas to separate multiple entries.
Select a provider type.
Note: These files are in PDF format unless otherwise noted.
Number Title Date
GL 19-3000-A Face-to-Face Training Requirements for Abuse, Neglect, and Exploitation
Applies to: CDTF

Note: Revised October 8, 2024. Replaces GL 19-3000.

10/8/2024
GL 19-1000-A2 Chemical Dependency Treatment Facility Outpatient Satellite Site Exemption (HB 4298-86R)
Applies to: CDTF

Note: Revised October 8, 2024

10/8/2024
GL 24-0001 Updated Freestanding Emergency Medical Care Facility Rules
Applies to: FEMC
7/9/2024
GL 23-0001-A Preparing for Hurricane Season
Applies to: Abortion Facilities, ASC, Birthing Centers, CDTF, CMHC, CORF, CSU, Psych Hospital, ESRD, FEMC, Hospital, Special Hospital, CLIA, Licensed Chemical Dependency Counselors, NTP, Port-X, RHC, SCF

Note: Revised June 19, 2024

6/19/2024
GL 22-3004-A Preparing for Emergencies or Disasters
Applies to: NTP

Note: Revised June 19, 2024

6/19/2024
GL 24-3002 Facility and Client Consent Requirements for Chemical Dependency Treatment Facilities Providing Outpatient Services by Electronic Means
Applies to: CDTF
5/28/2024
GL 21-3004-A2 Outpatient Chemical Dependency Treatment Service Provision Through Electronic Means (HB 4-87R) [Amended]
Applies to: CDTF

Note: Replaces GL 21-3004A, revised May 20, 2024.

5/28/2024
GL 23-1003-A Hospitals Participating in the Centers for Medicare and Medicaid Services Acute Hospital Care at Home Program (HB 1890-88R) [Amended]
Applies to: Hospital, Special Hospital

Note: Replaces GL 23-1003. Previously replaced by GL 23-1001-A.

1/29/2024
GL 23-2005 New and Amended Survivors of Sexual Assault Response and Treatment Requirements (SB 1401-88R, SB 1402-88R)
Applies to: FEMC, Hospital, Special Hospital
1/11/2024
GL 23-2003 Advance Directives, Do-Not-Resuscitate Orders, and Health Care Treatment Decisions (HB 3162-88R)
Applies to: Hospital, Special Hospital, SCF
12/1/2023
GL 23-2002 Itemized Billing for Health Care Services and Supplies (SB 490-88R)
Applies to: Abortion Facilities, ASC, Birthing Centers, CDTF, Crisis Service, CSU, ESRD, FEMC, Hospital, Psych Hospital, RHC, NTP, SCF, Special Hospital
8/28/2023
GL 21-2008-A-3 Required Disclosure of Prices for Certain Items and Services (SB 1137-87R) [Amended]
Applies to: Hospital, Special Hospital

Note: Replaces GL 21-2008-A-2 - September 22, 2022

3/1/2023
GL 23-2000 End Stage Renal Disease Facility Emergency Preparedness Planning and Contingency Operations Planning Requirements (SB 1876–87R)
Applies to: ESRD
2/24/2023
GL 22-0002 Amended Requirements for Emergency Services and Care Provided to Sexual Assault Survivors (HB 2706-87R)
Applies to: FEMC, Hospital, Special Hospital, Health Care Facilities Regulation
8/18/2022
GL 22-3003 Co-location of Chemical Dependency Treatment Facilities or Narcotic Treatment Programs with Other Programs and Services
Applies to: CDTF, NTP
7/25/2022
GL 21-0001 Organ Transplant Recipient Discrimination Based on an Individual’s Disability Prohibited (HB 119-87R)
Applies to: Abortion Facilities, ASC, Birthing Centers, CDTF, CSU, ESRD, Hospital, NTP, Psych Hospital, SCF, Special Hospital, Licensed Chemical Dependency Counselors
11/5/2021
GL 19-3001-A Qualified Credentialed Counselor (QCC) Guidance Letter [Amended]
Applies to: CDTF
6/5/2020
GL 20-2006-A Incidents Submission Portal for Acute Health Care Providers Under Texas Unified Licensure Information Portal (TULIP) [Amended]
Applies to: ASC, Birthing Centers, CDTF, CLIA, CMHC, CSU, ESRD, FEMC, Hospital, NTP, Psych Hospital, Special Hospital
6/4/2020
QA 20-0001 Opioid Treatment Programs Frequently Asked Questions
Applies to: NTP
4/24/2020