Home and 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

Read news, information letters (ILs) and provider letters (PLs).

Webinars

Resources

Contact Program Staff

Contracting: 512-438-2080
Licensing and certification: 512-438-2630
OASIS help desk: 833-769-1945
Policy and rule interpretations: 512-438-3161 / PolicyRulesTraining@hhsc.state.tx.us
Regional nurses: Community Services regional contacts for your region
Long-term care regulatory regional contact numbers

Regulatory Comment Card Survey

Please complete a short feedback survey about the recent visit to your facility by the HHSC Long-Term Care Regulatory Division.

Texas HCSSA Provider Directories

Communications

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 2024-10 Implementation of a Workplace Violence Program

Note: Revised 8/13
PL 2024-11 Application Requirements Related to Ownership, Affiliates, and Controlling Persons
PL 2020-01 How to File a Complaint Regarding a Surveyor and Report Survey Inconsistencies

Note: Revised 4/16/2024
PL 2024-09 Overview of G-tag Changes
PL 2024-06 Teleservices in Home and Community Support Services Agencies
PL 2024-05 Administrator and Alternate Administrator Requirements

Note: Replaces PL 2021-37
IL 2024-02 Rate Actions for Medicaid Community Hospice Services, Effective retroactively to October 1, 2023
PL 2023-20 Texas Unified Licensure Information Portal (TULIP) – Updated and Additional Information

Note: Replaces PL 2018-15.
PL 2023-15 Exemptions from Licensing Requirement
PL 2018-22 Initial Administrator Training Approval

Note: This PL replaces PL 08-15, October 3, 2018.
Revised July 6, 2023.