An official State of Texas website.
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) and provider letters (PLs).
Contact Program Staff
- Licensing and Credentialing: 512-438-2630
- Contracting with HHSC: Contact Information for Eligibility Operations Provider Contract Management (PDF)
- Eligibility Information: Your local HHS office
- Policy Information: CCADPolicy@hhs.texas.gov
- Regional Nurses: Community Services regional contacts for your region
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:
- Texas Administrative Code, Title 40, Part 1, Chapter 48, Subchapter K: Minimum Standards for Adult Foster Care
- Texas Administrative Code, Title 40, Part 1, Chapter 49: Contracting for Community Care Services
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 and Rules
State
- Texas Administrative Code, Title 40, Part 1, Chapter 46: Contracting to Provide Assisted Living and Residential Care Services
- Texas Administrative Code, Title 40, Part 1, Chapter 48, Subchapter K: Minimum Standards for Adult Foster Care
- Texas Administrative Code, Title 40, Part 1, Chapter 49: Contracting for Community Services
- Texas Administrative Code, Title 26, Part 1, Chapter 553: Licensing Standards for Assisted Living Facilities
- Texas Government Code, Title 10, Chapter 2105: Administration of Block Grant Programs
- Texas Health and Safety Code, Title 4, Chapter 247: Assisted Living Facilities
- Texas Health and Safety Code, Title 4, Chapter 250: Nurse Aide Registry and Criminal History Checks of Employees and Applicants for Employment in Certain Facilities Serving the Elderly or Persons with Disabilities
- Texas Human Resource Code, Title 2, Chapter 22, Section 22.001: General Powers and Duties of the Department
- Texas Human Resource Code, Title 2, Chapter 22, Section 22.002(a): Administration of Federal Welfare Programs