Prescribed Pediatric Extended Care Center (PPECC)

What are PPECCs?

PPECCs allow minors from birth through age 20 with medically complex conditions to receive daily medical care in a non-residential setting.

When prescribed by a physician, minors can attend a PPECC up to a maximum of 12 hours per day to receive medical, nursing, psychosocial, therapeutic and developmental services appropriate to their medical condition and developmental status.

The Health and Human Services Commission began licensing and regulating the PPECCs on Jan. 1, 2015.


Contact Program Staff

For policy or rules information, call 512-438-3161 or email LTCR Policy.

For licensing application questions, call 512-438-2630 or email LTC/ALF/ICF Licensing.

PPECC Provider Directories

Statutes and Rules

Senate Bill 492, 83rd Legislature, Regular Session, 2013, authorized the licensing of PPECCs.

Other Rules and Statutes

Training: PPECC Licensing Standards in Texas

The Overview of PPECC Licensing Standards in Texas course provides general information on PPECC licensing application requirements. This computer-based training (CBT) satisfies the HHSC pre-licensing program training requirement as part of Texas Administrative Code, Title 26, Part 1, Chapter 550, Licensing Standards for Prescribed Pediatric Extended Care Centers.

An administrator or alternate administrator of a center must complete this training before an applicant may submit an initial application for a license.

After completing the course, participants must print a copy of the course certificate available at the end of the training and keep it for documentation purposes.

Take the training.

Provider Communications

View the links below for news, information letters (ILs) and provider letters (PLs).

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 2024-11 Application Requirements Related to Ownership, Affiliates, and Controlling Persons
PL 2020-01 How to File a Complaint Regarding a Surveyor and Report Survey Inconsistencies

Note: Revised 4/16/2024

PL 2023-20 Texas Unified Licensure Information Portal (TULIP) – Updated and Additional Information

Note: Replaces PL 2018-15.

IL 2023-29 STAR Kids/STAR Health PPECC Rates Effective retroactively to June 1, 2023
PL 2023-14 Web-based Licensure System for Nurse Aides and Medication Aides
PL 2023-13 Changes to Initial Self-Reporting Methods and Provider Investigation Report Form 3613/3613-A
PL 2023-05 End of Temporary Waivers of Certain LTCR Requirements During COVID-19 Public Health Emergency

Note: Revised 5/8/2023. Replaced PLs 2020-21, 2020-26 and 2021-29.

PL 2023-08 Adoption of Prescribed Pediatric Extended Care Center Updated Rules
PL 2023-07 Temporary Closures
PL 2018-20 Incident Reporting Requirements

Note: Replaces PL 13-04 and PL 18-07