Prescribed Pediatric Extended Care Centers (PPECC)

What are PPECCs?

Prescribed Pediatric Extended Care Centers (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 centers on Jan. 1, 2015.

Provider Communications

Click here for news, information letters (ILs) & provider letters (PLs).

Resources

Contact Program Staff

For policy or rules information, call 512-438-3161 or email PolicyRulesTraining@hhsc.state.tx.us.

PPECC Provider Directory

Statutes & Rules

Senate Bill 492, 83rd Legislature, Regular Session, 2013, authorized the licensing of Prescribed Pediatric Extended Care Centers.

Other Rules and Statutes

Training

This course is designed to offer a computer based training (CBT) to satisfy the HHSC pre-licensing program training requirement, which is part of TAC; Title 26, Part 1, Chapter 550 Licensing Standards for Prescribed Pediatric Extended Care Centers. An administrator or alternate administrator of a center must complete the HHSC pre-licensing program training titled Overview of Prescribed Pediatric Extended Care Center Licensing Standards in Texas before an applicant may submit an initial application for a license.

To document successful course completion, the participants must print a copy of the course certificate available at the end of the training and keep the certificate for documentation purposes.

Please click here to take the training.

Web-based Training

You may also find other web-based training by clicking on this link.

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 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

PL 2022-32 Blackboard Connect Emergency Communication System
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