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Rules and Standards for Child Care in Texas

Information about Licensed Child Care & Child-Placing Agency Administrator Licensing in Texas.

Information about controlling persons for child care providers.

How to become a child care home provider in Texas.

Information about Texas Child Day Care Provider licensing and regulation.

The HHS Centralized Background Check Unit is required to do background checks to see if a person has a criminal history or an abuse and neglect history that might be a risk to the health and safety of children. Background checks are required for Child Care providers, Residential Child Care providers, and Foster and adoptive homes.

Licensing and regulatory information for residential child care operations in Texas.

Texas HHS protects children by regulating and educating child care providers.

Home Delivered Meals provides nutritious noontime meals delivered to people in their homes on a scheduled basis. Meals may also be delivered to a location other than an individual's home, provided the location is within the provider's service area and is approved by the case worker. Those eligible for HDM are aged 18 years or older. An interest list is maintained for people interested in applying for this program. This page contains information for HDM providers.

The Minimum Data Set (MDS) is a standardized collection of demographic and clinical information that describes a person's overall condition. All licensed nursing facilities in Texas are required to submit MDS assessments for all residents admitted into their facility. The current version is MDS 3.0.

Information for Texas Emergency Response Services providers.

Medicaid home and community-based services provide opportunities for people to receive long-term services and supports in their own home or community, rather than in an institution or isolated setting.

HHSC has adopted new program rules in the Texas Administrative Code, Title 26, Part 1, Chapter 284, effective Nov. 14, 2023.

Child Care Regulation (CCR) invites you to review and provide comments on the potential rule changes from Nov. 1 through Nov. 15.

Texas nursing facilities (NFs) must not transmit Minimum Data Set (MDS) Optional State Assessments (OSAs) to the Centers for Medicare and Medicaid Services (CMS) Internet Quality Improvement and Evaluation System (iQIES).