Hospice

All COVID-19 information can be found in the COVID-19 accordion below.

What is Hospice?

COVID-19 Resources

HHSC released emergency rules related to COVID-19 vaccine authority for HCSSA providers (PDF)

HHSC is providing inpatient hospice facilities with Frequently Asked Questions about COVID-19 (PDF)

Infection Control Basics & PPE Training for Essential Caregivers (PDF)

Inpatient Hospice COVID-19 Response Reopening Visitation Emergency Rules (PDF)

Omnicare POC Testing FAQs for Healthcare Professionals (PDF)

Communications

Please click here for Provider Communications.

Don't Miss Out on Emails from HHS

The Texas Health and Human Services Commission contracts with a company called Granicus to provide email updates, called GovDelivery. In accordance with your contract, and contracting rules at 40 Texas Administrative Code §49.302(g), you must subscribe to receive HHSC email updates, using this GovDelivery signup, and select Information Letters, Provider Alerts and the contract program type(s).

When you sign up for email updates, you are giving your information to both HHSC and to Granicus. When HHSC has your information, it is subject to the HHSC privacy policy. When Granicus has your information, it is subject to the Granicus GovDelivery privacy policy.

Contact Program Staff

How to Become a Provider

Hospice providers must be licensed as a Home and Community Support Services Agency and have a contract with the Texas Health and Human Services Commission to provide Medicaid hospice services. Rules regarding minimum licensing standards for a HCSSA can be found in Title 26 of the Texas Administrative Code as follows:

For more information about the HHSC provider enrollment process and requirements, please click here.

Open Enrollment Process

The Texas Health and Human Services Commission accepts applications through its open enrollment process to contract for the Hospice Medicaid program. Under the open enrollment process, HHSC awards contracts on a noncompetitive basis to eligible applicants meeting the qualifications and other requirements.

Applications for Hospice can be submitted year-round with no deadline. Hospice program provider applicants must complete the application packet and include all required documents in accordance with HHSC instructions.

Contracting to Provide Services

To be eligible to provide services and receive reimbursement for these services, a provider agency must meet certain eligibility criteria. Rules regarding program and contracting requirements can be found in Title 40 of the Texas Administrative Code as follows:

For more information about the HHSC provider enrollment process and requirements, please click here.

An individual or provider agency must complete an application to provide services in the Community Services programs. Once you have met the minimum eligibility criteria, you may review the required application documents at:

The forms may be downloaded for completion. Completed forms and any additional required information should be mailed to:

Regular mail

Texas Health and Human Services Commission
Contract Administration and Provider Monitoring - Waiver Program Enrollments
Mail CodeW-359
P.O. Box 149030
Austin, TX 78714-9030

Overnight/Express delivery
Texas Health and Human Services Commission
Contract Administration and Provider Monitoring - Waiver Program Enrollments
Mail Code W-359
701 West 51st St.
Austin, TX 78751

Should you have any questions regarding the enrollment process for these programs, contact Contract Administration and Provider Monitoring - Waiver Program Enrollments at 512-438-3234.

Regulatory Comment Card Survey

Please click here to take a short survey about the recent visit to your facility by Texas Health and Human Services Regulatory Services.

Seeking an Initial Parent or Alternate Delivery Site License?

Applicants seeking an initial parent or alternate delivery site license to provide licensed and certified hospice services (authorization to provide services to Medicare beneficiaries) should read Provider Letter 201515-10, Direction from the Centers for Medicare & Medicaid Services on Prioritization of Initial Medicare Certification Surveys (PDF).

Statutes & Rules

State

Federal

Other Rules and Statutes

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
IL 2021-48 Acceptable Documentation for a Criminal History CheckRevised November 10, 2021
PL 2021-37 Administrator and Alternate Administrator RequirementsReplaces PL 15-17 and PL 16-16
IL 2021-43 Update to Information Letter No. IL 20-37 Telemedicine Flexibility for Face-to-Face Reassessments
PL 2021-29 End of Temporary Suspension of Certain LTCR Requirements During COVID-19 OutbreakReplaces PL 2020-21 and 2020-26. Revised September 14, 2021.
IL 2021-36 Fiscal Year 2021 Cutoff Date for Year-end Closeout Processing
PL 2021-24 HCSSA COVID-19 Vaccination Authority for Home Health and Hospice Agencies
IL 2021-27 Preparing for the Upcoming Fiscal Year 2021 Fee-for-Service Claims Billing Closeout
PL 2021-14 Status of an Active License During a Renewal ProcessReplaces PL 2019-18
PL 2020-49 Process to Request Free COVID-19 Point of Care Antigen Test KitsRevised March 25, 2021
IL 2021-09 Handling of Sensitive Personal Information and Breach NotificationReplaces IL 2012-86