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 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 2022-08 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
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
PL 2021-15 Fingerprint-based Criminal History Checks for Current and Prospective Medication Aides