Assisted Living Facilities (ALF)

Questions about enrolling?

Call the Licensing and Certification Unit at 512-438-2050

Visit the Texas Unified Licensure Information Portal (TULIP) website

For application forms and instructions.


Civil Money Penalty (CMP) Reinvestment Program

Accepts applications for new projects during the following application periods (excludes Communicative Technology):
Jan. 1 – Feb. 28
July 1 – Aug. 31

What is an Assisted Living Facility?

Assisted living facilities provide individualized health and personal care assistance in a homelike setting with an emphasis on personal dignity, autonomy, independence and privacy. Facilities can be large apartment-like settings or private residences. Services include meals, bathing, dressing, toileting and administering or supervising medication.

Texas Health and Human Services licenses assisted living facilities based on residents' physical and mental ability to evacuate the facility in an emergency and whether nighttime attendance is necessary.

  • A Type A facility cares for residents who do not require routine attendance during sleeping hours and are capable of following directions in an emergency.
  • A Type B facility is for residents who require staff assistance to evacuate, are not capable of following directions in an emergency and require nighttime attendance.

The Assisted Living Facility Information brochure (PDF) explains the variety of assisted living facilities available in Texas, who they care for, and the services they provide. Assisted living facilities are regulated under Health and Safety Code, Chapter 247 and Texas Administrative Code(TAC), Title 26, Part I, Chapter 553.

Provider Communications

Click here for news, information letters (ILs) , provider letters (PLs) and technical memorandae.

COVID-19 Resources


For older recordings, email LTCR Policy.

Contact Program Staff

Directory and Regulation Tags

Statutes & Rules


Other Rules and Statutes



Provider Communications

Case-sensitive. Use commas to separate multiple entries.
Note: These files are in PDF format unless otherwise noted.
Number Title/Notes Date Published
PL 2020-49 Process to Request Free COVID-19 Point of Care Antigen Test Kits

Note: Revised March 25, 2021

PL 2021-04 HHSC COVID-19 Reporting Process
PL 2022-05 Implementation of House Bill (HB) 525, 87th Legislature, Regular Session, 2021
PL 2021-02 Change of Ownership Transfer Affidavit Form

Note: Replaces PL 2010-50

PL 2020-46 Reporting Guidance for Long-Term Care Providers - Point-of-Care Antigen Testing

Note: Revised, originally issued October 21, 2020

PL 2020-50 Influenza (Flu) Vaccine Guidance During COVID-19
PL 2020-48 Transferring COVID-19 Positive Residents
IL 2020-35 Fiscal Year 2020 Cutoff Date for Year-end Closeout Processing
TM 2020-02 (ALF) Walkway from an Exit or Means of Escape
TM 2020-01 (ALF) Bedroom Door Lock