Prescribed Pediatric Extended Care Centers (PPECC)

Questions about enrolling?

Call the Licensing and Certification Unit at 512-438-2630.

Visit the Texas Unified Licensure Information Portal (TULIP) website

For application forms and instructions.


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.

COVID-19 Resources


Please click here for Provider Communications.

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 2020-20 Incident Submission Portal for Long-Term Care (LTC) Providers under Texas Unified Licensure Information Portal (TULIP)
PL 2020-03 Provider Responsibility for Renewing a License
PL 2020-02 Informal Dispute Resolution Process
PL 2020-01 How to File a Complaint Regarding a Surveyor and Report Survey Inconsistencies

Note: Revised August 10, 2021

PL 2019-19 Retired Survey and Certification Clarification Letters
PL 2019-16 Responsibility for Records After a Management Change
PL 2019-11 New Policy, Rules and Training Mailbox
PL 2019-02 Handbooks Discontinued; Instructions for Requesting Rules
PL 2019-01 Acceptable Documentation for a Criminal History Check

Note: Replaces PL 09-05 and PL 13-02

PL 2018-26 Providing Access to Electronic Health Records

Note: Replaces PL 18-10