Emergency Response Services (ERS)

What are Emergency Response Services?

Around-the-clock emergency response services are provided through an electronic monitoring system that is used by functionally impaired adults who live alone or who are socially isolated in the community. In an emergency, the individual can press a call button to signal for help. The electronic monitoring system helps to ensure that the appropriate person or service agency responds to an alarm call.


Please click here for Provider Communications.

Don’t Miss Out on Emails from HHS

The Texas Health and Human Services Commission contracts with a company called Granicus to provide email updates, called GovDelivery. In accordance with your contract, and contracting rules at 40 Texas Administrative Code §49.302(g), you must subscribe to receive HHSC email updates, using this GovDelivery signup, and select Information Letters, Provider Alerts and the contract program type(s).

When you sign up for email updates, you are giving your information to both HHSC and to Granicus. When HHSC has your information, it is subject to the HHSC privacy policy. When Granicus has your information, it is subject to the Granicus GovDelivery privacy policy.

Contact Program Staff

For questions about:

How to Become a Provider

Contracting to Provide Services

Public agencies or private nonprofit corporations that are either chartered with or authorized by the Secretary of State to transact business within the state and have a 24-hour-a-day, seven-day-a-week emergency response monitoring capability, may apply for a contract. Providers must meet licensure requirements of the Texas Private Security Bureau of the Public Safety of the State of Texas or the Texas Department of State Health Services.

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:

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

An individual 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 Contact Information for Eligibility Operations Provider Contract Management (PDF)  to obtain the mailing address to submit completed documents.

If you prefer HHSC to mail you the required application documents, contact 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



Other Rules and Statutes


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 2015-37 Preparing for the Upcoming Fiscal Year 2015 Fee-for-Service Claims Billing Closeout
IL 2015-35 Community First Choice Implementation for Texas Home Living Individuals Receiving Primary Home Care or Title XX Emergency Response Services
IL 2014-77 STAR+PLUS Managed Care Resource Information for Transitioned Community Based Alternatives, Primary Home Care and Day Activity Health Services Providers
IL 2014-49 Billing Process for Long-Term Services and Supports Providers Transitioning to STAR+PLUS
IL 2014-23 Expansion of the STAR+PLUS Medicaid Managed Care Program to the Medicaid Rural Service Areas
IL 2014-22 Preparing for the Upcoming Fiscal Year 2014 Claims Billing Closeout
IL 2013-29 Preparing for the Upcoming Fiscal Year 2013 Claims Billing Closeout
IL 2013-25 Contract and Fiscal Compliance Monitoring – Implementation of Intermittent Monitoring - Effective Date June 1, 2013
IL 2013-21 Emergency Response Services for Individuals without a Landline Telephone
IL 2012-86 Handling of Sensitive Personal Information and Breach Notification