Home & Community Support Services Agencies (HCSSA)

Questions about enrolling?

Call the Licensing and Certification Unit at 512-438-2630.

Visit the Texas Unified Licensure Information Portal (TULIP) website

For application forms and instructions.


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.

COVID-19 Resources

HHSC released emergency rules related to COVID-19 for LTCR Providers (PDF)

HHSC released emergency rules related to COVID-19 vaccine authority for HCSSA providers (PDF)

COVID-19 FAQs for HCSSA Providers (PDF)

HCSSAs: Personal Protective Equipment for Staff and Clients (PDF)

PAS Infection Control Probe Tool (PDF)

Omnicare POC Testing FAQs for Healthcare Professionals (PDF)


Please click here for Provider Communications.

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 2021-44 Active, Unemployable Work-Around
PL 2021-42 New Individualized Skills and Socialization Service Coming Soon
PL 2021-37 Administrator and Alternate Administrator Requirements

Note: Replaces PL 15-17 and PL 16-16

PL 2021-35 Licensing Requirements for In-home Supportive Palliative Care
PL 2021-29 End of Temporary Suspension of Certain LTCR Requirements During COVID-19 Outbreak

Note: Replaces PLs 2020-21 and 2020-26. Originally issued August 13, 2021.

PL 2021-33 Authority to Enter Long-term Care Facilities
PL 2021-27 Documenting Delivery of Non-Delegated Tasks by Unlicensed Persons

Note: Replaces PL 2013-20

PL 2021-24 HCSSA COVID-19 Vaccination Authority for Home Health and Hospice Agencies
PL 2021-18 Requirement to Request an Initial Survey Within Six Months After Issuance of an Initial License
PL 2021-17 Description of Key Changes in Newly Adopted HCSSA Rules