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).


Contact Program Staff

Contracting: 512-438-2080 
Licensing and certification: 512-438-2630 
OASIS help desk: 512-438-4122 
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


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
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.

PL 2023-14 Web-based Licensure System for Nurse Aides and Medication Aides