Questions about incidents? Call the CII hotline at 800-458-9858.
Texas Health and Human Services Commission has introduced a new incidents submission portal under Texas Unified Licensure Information Portal for the following licensed and/or certified Texas Health and Human Services providers to submit incidents online to notify the agency if someone in their care has been or may be physically or mentally abused, neglected or exploited:
Home and community support service agencies (Home health and hospice)
- Updated self-reporting process for HCSSA providers of a Medicaid Consumer becomes effective July 1, 2023. Read Provider Letter 2023-12 (PDF).
- PL 2016-22 HCSSA Self-reports of Abuse, Neglect and Exploitation and Provider Investigation Report Form (PDF)
Day activity and health services
Assisted living facilities
- PL 2019-23 Types of Incidents Providers Must Report to the Texas Health and Human Services Commission (PDF)
Licensed Nursing Facilities and Skilled Nursing Facilities
- PL 2019-17 – Abuse, Neglect, Exploitation, Misappropriation of Resident Property and Other Incidents that a Nursing Facility (NF) Must Report to the Health and Human Services Commission (PDF)
Licensed Intermediate Care Facilities for Persons With an Intellectual Disability
- PL 2017-02 - Guidelines for Reporting Abuse, Neglect and Exploitation (ANE) to the Texas Department of Family and Protective Services (DFPS) and Reporting Incidents to Health and Human Services Commission (PDF)
- PL 2017-03 - Guidelines for Reporting Abuse, Neglect and Exploitation (ANE) to the Texas Department of Family and Protective Services (DFPS) and Reporting Incidents to the Health and Human Services Commission (PDF)
- 40 TAC Section 4.554
- 40 TAC Section 3.302(a)
- 40 TAC Section 9.175
- 40 TAC Section 9.585
- Memorandum of Understanding (MOU) dated March, 25, 1996
Depending on their reporting guidelines and HHS rules, providers may be required to report other incidents including, but not limited to:
- Misappropriation of funds
- Drug diversions
- Missing persons
- Injuries of unknown source
- Situations that pose a threat to residents, employees or the public, including calling the police or the local fire authority to maintain safety
Provider’s user guide to submit incidents online (PDF)
Frequently Asked Questions
How do I report an incident?
You can report an incident online at any time, day or night.
Long-term care providers will need a TULIP login to submit incidents online. There are several required fields which must be completed before you can submit your provider incident report. Links to continue to the next page or to go back to the previous page will be provided.
Narrative sections will have maximum character limits and the application will "timeout" after 30 minutes of inactivity if the application is open and the incident not successfully transmitted.
A confirmation number will be provided when the incident has been successfully transmitted. This number should be referenced on your Provider Investigation Report Form (applicable to long-term care providers only.)
Be sure to print a copy of the confirmation page for your records.
NO additional contact from HHS intake staff will occur when you use the online application. HHS intake staff would only contact you if additional clarification or more details are needed regarding the incident to complete triage and prioritization of the intake.
In addition, providers can self-report an initial incident submission via email at email@example.com or by speaking to a live agent during business hours (Monday-Friday 7 am-7 pm.)
What information do I need to report an incident?
You need to provide the following information:
- Your name and title.
- Primary and secondary phone numbers, including area code, where you can be reached.
- The name and address of the provider on whose behalf you are making the report. Include license number or facility ID, if applicable.
- Whether or not the incident was reported to the police or the Texas Department of Family and Protective Services. Please include the name of the employee who made the report and the DFPS call ID reference number or the police report number.
- The name, age, date of birth and Social Security number of the person about whom you are making the report. In addition, we need to know:
- If special supervision was required
- The person's level of cognition
- The person's pertinent medical history
- If there was a history of similar or prior incidents
- The date and time you first learned of the incident and a brief narrative summary of the reportable incident. Please include the names of any alleged perpetrators or witnesses.
- The date, time and results of any assessment conducted, including findings of injury or adverse effects noted.
- Type of treatment provided, and when and where treatment was provided.
- The immediate action taken to protect other people and to prevent occurrences of similar incidents.
- The name(s) of anyone else you notified about the incident.
- Other questions, specific to provider type, may be asked.
Where do long-term care providers submit the provider investigation report?
Long-term care providers can login to submit an investigation report for incidents initially submitted online.
Investigation reports for incidents submitted via phone call or email can be faxed, mailed or emailed along with any attachments, based on the length of the report.
- You may email the completed provider investigation report to firstname.lastname@example.org. (Attachments must be less than 20 MB.)
- If the report with statements and other relevant documentation, is 15 pages or fewer, fax the report and attachments to 877-438-5827.
- If the report, with statements and other relevant documentation, is 16 pages or more, mail the report and attachments to:
Texas Health and Human Services
Complaint and Incident Intake
Mail Code E249
P.O. Box 149030
Austin, TX 78714-9030