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).

Webinars

Resources

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

Communications

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