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 2022-15 Offsite Review Responsibility Requirements
IL-2022-39 Provider Communications Prior to the End of the COVID-19 PHE
PL 2022-13 New Rules Implementing Senate Bill (S.B.) 25 and Senate Bill (S.B.) 572, 87th Legislature, Regular Session, 2021, Version 2

Note: Revised -- originally issued June 1, 2022

IL 2022-31 Preparing for the upcoming Fiscal year 2022 Fee-for-Service Claims Billing Closeout
PL 2022-09 Process for Requesting Testing Supplies for Providers Without a CLIA Waiver
PL 2022-04 Training Requirements for Nurse Aides and Nurse Aide Training and Competency Evaluation Programs (Revised)

Note: This letter was previously revised on February 4, 2022 to correct the PL number from 2022-05 to 2022-04.

PL 2022-08 Mitigation of Staffing Shortages
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