Click here to find services for you, your family or someone you are caring for.

Home and Community Support Services Agencies (HCSSA)

Click here to learn how to become a providerHome and community support services agencies (HCSSAs) provide services such as

  • nursing;
  • physical, occupational, speech, respiratory or intravenous therapy;
  • social services;
  • dialysis;
  • personal assistance services;
  • nutritional counseling; and
  • terminal and palliative care (through hospice agencies)

to individuals in a residence or independent living environment.

Hospice agencies and hospice inpatient facilities provide intervention services that focus primarily on the reduction or abatement of physical, psychological, or spiritual symptoms of a terminal illness for consumers. They also provide support services for consumers and their families. For more specific information about hospice, please visit the DADS hospice website.

Attention: Applicants seeking an initial parent or branch license to provide licensed and certified home health services or hospice services (authorization to provide services to Medicare beneficiaries) should read Provider Letter (PL) 13-09 - Centers for Medicare & Medicaid Services (CMS) Direction Regarding Workload Prioritization (Replaces PL 11-16, 11-03, 07-17 and 07-04) and Provider Letter (PL) 13-10 - Centers for Medicare & Medicaid Services (CMS) Direction Regarding Workload Prioritization (Replaces PLs 11-17, 11-04, 07-18 and 07-15).

Regulatory comment card survey

Please click here to take a short survey about the recent visit to your facility by DADS Regulatory Services.

Communications

News & Alerts

Letters [Provider (PL) and Information (IL)]
Number Title Date
PL 2014-07 PDF Complaints Regarding Surveyors Note: (Replaces PL 02-42) 07/15/2014
IL 2014-24 PDF Reassessment Process in Preparation of STAR+PLUS Expansion in Rural Service Areas 06/03/2014
PL 2014-11 PDF Emergency Preparedness Reminder (Replaces Provider Letter 09-13) 05/12/2014
IL 2013-72 PDF 2013 Online Training and Classroom Training Dates 11/12/2013
PL 2013-36 PDF Clarification of the Provision of Dialysis Services to Residents in NFs 10/17/2013

All provider letters for HCSSAs

Federal Survey and Certification (S&C) Letters (five most recent displayed)
Number Title Contact
Memo
Date
14-38 PDF Rehabilitation Agencies: Fire Alarm Systems, SOM Appendix E Revision - Advance Copy N/A 07/03/2014
14-37 PDF Advance Guidance - Revisions to State Operations Manual (SOM), Appendix PP- Guidance to Surveyors for Long-Term Care (LTC) Facilities and Chapter 4 N/A 07/03/2014
14-36 PDF Infection Control Breaches Which Warrant Referral to Public Health Authorities N/A 05/30/2014
14-30 PDF Grant Solicitation for the Reinvestment of Federal Civil Money Penalty (CMP) Funds to Benefit Nursing Home Residents N/A 05/16/2014
14-29 PDF Information for Applications to Extend the Due Date for the Installation of Automatic Sprinkler Systems in Existing Nursing Homes N/A 05/16/2014

All S&C Letters

State Survey and Certification Clarification (S&CC) Memos (five most recent displayed)
Number Title Date
2014-02 PDF Forwarding Copy of Investigation Narrative to Appropriate Law Enforcement Agency and District Attorney (Replaces S&CC 99-13) 06/23/2014
2014-01 PDF Transferring Liquid Oxygen from One Container to Another (Replaces S&CC 11-08) 04/04/2014
2013-04 PDF Skilled Nursing Services in Assisted Living Facilities 06/03/2013
2013-02 PDF Referrals to an Incident-based Nursing Peer Review Committee (NPRC) or the Texas Board of Nursing (BON) (Replaces S&CC 02-17) 03/27/2013
2013-01 PDF Conflict of Interest Protocol Regarding State Supported Living Center Survey and Certification Procedures (Replaces S&CC 07-01) 03/27/2013

All S&CC Memos

Regional Survey and Certification (RS&C) Letters (five most recent displayed)
Number Title Date
2014-02 PDF Guidance for Processing Non-Compliance with State Licensure Requirements 05/16/2014
2012-04 PDF CMS Region VI-Dallas Delegation of Notification of the Imposition and Starting Date of Optional Denial of Payment for New Admissions to the State Survey Agencies in Region VI 03/14/2012
2012-02 PDF Procedural Instructions for Processing Certifications Concerning Legal Names and Doing Business as Names of Providers and Suppliers 02/17/2012
2012-01 PDF Voluntary Termination and Related Processes 02/10/2012
2010-02 PDF Documents for Processing Certification Actions for All Non-Long Term Care Providers/Suppliers (except ICFs/MR and Clinical Laboratories) 05/27/2010

All RS&C Letters

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Updated: July 10, 2014