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

For licensing application questions, call 512-438-2630 or email

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.

Click here to take the training.

Provider Communications

Click 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 2022-30 Adopted Rules Related to Temporary Licenses for Long-term Care Provider Changes of Ownership (CHOWs)
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 2022-05 Payment Rates for PPECC Transportation
IL 2021-48 Acceptable Documentation for a Criminal History Check

Note: Revised November 10, 2021

PL 2021-15 Fingerprint-based Criminal History Checks for Current and Prospective Medication Aides
PL 2021-14 Status of an Active License During a Renewal Process

Note: Replaces PL 2019-18

PL 2022-05 Implementation of House Bill (HB) 525, 87th Legislature, Regular Session, 2021
PL 2021-02 Change of Ownership Transfer Affidavit Form

Note: Replaces PL 2010-50

PL 2020-28 Volunteer Portal