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 2022-26 Enforcement Unit Mailbox for Informal Dispute Resolution

Note: Replaces PL 2016-42 and PL 11-15. (Originally issued November 28, 2016).

PL 2022-18 New Regional Boundaries for Long-term Care Providers

Note: updated to PL 2022-18

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