Licensing Standards for Home and Community Support Services Agencies Handbook
Forms Table of Contents
For information about forms accessibility, contact DADS at handbookfeedback@dads.state.tx.us
| 2020 | Notification of Readiness for Initial Survey | ||
| 2021 | License Application | ||
| 2022 | Criminal History Check | ||
| 2023 | Home and Community Support Services Agency Application for Medicare Certified Branch | ||
| 2024 | Home and Community Support Services Agency Request for Alternate Delivery Site License | ||
| 2025 | Home and Community Support Services Agency Request for Branch License | ||
| 2026 | Request for Review and Approval of Administrator Training for Home and Community Support Services Agencies | ||
| 3613 | Provider Investigation Report with Fax Cover Sheet (For HCSSA (or Home Health and Hospice) Provider Only) |