Home & Community Support Services Agencies (HCSSA)

What is a HCSSA?

Home and community support services agencies (HCSSAs) provide services such as

  • nursing;
  • physical, occupational, speech, respiratory or intravenous therapy;
  • social services;
  • dialysis;
  • personal assistance services;
  • nutritional counseling; and
  • terminal and palliative care (through hospice agencies)
  • to individuals in a residence or independent living environment.

Hospice agencies and hospice inpatient facilities provide intervention services that focus primarily on the reduction or abatement of physical, psychological, or spiritual symptoms of a terminal illness for consumers. They also provide support services for consumers and their families.

Provider Communications

Click here for news, information letters (ILs) & provider letters (PLs).


Frequently Asked Questions for HCSSA Providers (PDF)

Infection Prevention and Control Measures for Common Infections in LTC Facilities (PDF)

PAS Infection Control Probe Tool (PDF)

Omnicare POC Testing FAQs for Healthcare Professionals (PDF)

Contact Program Staff

Regulatory Comment Card Survey

Please click here to take a short survey about the recent visit to your facility by Texas Health & Human Services Commission - Long-Term Care Regulatory Division.

Texas HCSSA Provider Directory


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
PL 2023-12 Revised Process for Reporting Abuse Neglect and Exploitation

Note: Revised 5/22/2023. Originally issued 5/18/2023.

PL 2023-05 End of Temporary Waivers of Certain LTCR Requirements During COVID-19 Public Health Emergency

Note: Revised 5/8/2023. Replaced PLs 2020-21, 2020-26 and 2021-29.

PL 2023-11 Cooperation with HHSC Provider Investigations
PL 2023-07 Temporary Closures
PL 2018-20 Incident Reporting Requirements

Note: Replaces PL 13-04 and PL 18-07

PL 2023-04 HCSSA Medicare Relocation Questionnaire
PL 2022-33 Guidance for HCSSAs Wanting to Provide Supportive Palliative Care
PL 2022-32 Blackboard Connect Emergency Communication System
PL 2022-26 Enforcement Unit Mailbox for Informal Dispute Resolution

Note: Replaces PL 2016-42 and PL 11-15. (Originally issued November 28, 2016).

PL 2022-18 New Regional Boundaries for Long-term Care Providers

Note: updated to PL 2022-18