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Listing of handbooks and forms for nursing facility providers in Texas

Information about how to become an Assisted Living Facility (ALF) provider in Texas

The term "negotiated rulemaking" specifies a particular process to be used to draft a proposed rule. This process provides for a group of 12-15 stakeholders who represent differing interests affected by the proposed rule to negotiate and potentially reach agreement on a proposed rule.

Electronic Visit Verification is a computer-based system that verifies the occurrence of authorized personal attendant service visits by electronically documenting the precise time a service delivery visit begins and ends. Texas requires EVV for certain Medicaid funded home and community-based services provided through HHSC and MCOs.

Advance care planning means planning ahead for how you want to be treated if you are very ill or near death. This page provides information about that process for both providers and consumers.

Information about the licensing and regulation of nursing facilities (NFs) in Texas.

Information about the licensing and regulation of assisted living facilities (ALFs) in Texas.

The Texas Medicaid & Healthcare Partnership (TMHP) has published the 2025 Proprietary System Operator (PSO) Operational Readiness Review (ORR) onboarding schedule and the new PSO Onboarding Standard Process Overview and Timeline (PDF) to the TMHP EVV webpage.

Long-Term Care Regulation staff and program providers are invited to attend the following in-person classes hosted in December.

Long-Term Care Regulation staff and program providers are invited to attend the following webinar trainings hosted in December.

HHSC Long-term Care Regulation (LTCR) is hosting a nursing facility (NF) provider webinar on Dec. 11 to provide the latest updates from LTCR.

The 2025 Quality in Long-Term Care Conference will be held at the Renaissance Austin Hotel, Aug. 27-28, 2025.

To enhance program integrity, the Texas Health and Human Services Commission is reducing the use of alternative devices as an approved method to clock in and clock out of for Electronic Visit Verification required services.

HHSC rescinded PL 2024-20 Requirements for Tuberculosis Screening and Testing. Additional guidance regarding tuberculosis screening and testing will be forthcoming.

Long-Term Care Regulation staff and program providers are invited to attend the following in-person classes hosted in November and December.