Prescribed Pediatric Extended Care Centers (PPECC)

Questions about enrolling?

Call the Licensing and Certification Unit at 512-438-2050

Visit the Texas Unified Licensure Information Portal (TULIP) website

For application forms and instructions.


Civil Money Penalty (CMP) Reinvestment Program

Accepts applications for new projects during the following application periods (excludes Communicative Technology):
Jan. 1 – Feb. 28
July 1 – Aug. 31

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).

COVID-19 Resources

Contact Program Staff

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

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


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.


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 2021-29 End of Temporary Suspension of Certain LTCR Requirements During COVID-19 Outbreak

Note: Revised. Replaces the version previously revised September 14, 2021. Replaces PLs 2020-21 and 2020-26.

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
PL 2020-25 Revised Recommendations for Tuberculosis Screening, Testing, and Treatment of Health Care Personnel
PL 2020-15 Guidance on COVID-19 Response in PPECCs