Older adults and people with disabilities need your help. Click here to learn how to become a provider.

Are you ready for the ICD-10 transition on Oct. 1, 2015? Click here to learn more.

Help for older adults and people with disabilities, dial 1-855-937-2372. One free call allows you to talk to a trained professional. Click here to learn more.

Home and Community Support Services Agencies (HCSSA)

Home 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.

Regulatory Comment Card Survey

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


News & Alerts


Letters [Provider (PL) and Information (IL)]
Number Title Date
PL 2015-25 PDF Technical Difficulties with Credential Management System 09/15/2015
PL 2015-17 PDF Randomized List of HCSSA Administration Training Providers 07/01/2015
PL 2015-15 PDF Emergency Preparedness Reminder Note: (Replaces Provider Letter 14-11) 05/29/2015
PL 2015-09 PDF Direction from the Centers for Medicare & Medicaid Services (CMS) on Prioritization of Initial Medicare Certification Surveys (Replaces PL 13-09) 04/13/2015
IL 2015-05A PDF 2014 Cost Report and Cost Report Preparer Requirements 01/16/2015

All provider letters for HCSSAs

Federal Survey and Certification (S&C) Letters (five most recent displayed)
Number Title Contact
15-52 PDF Home Health Agency (HHA) Survey Protocol Training Item Revised N/A 09/11/2015
15-51 PDF Home Health Agencies (HHAs): Change of Address – Notification of the Medicare Administrative Contractor (MAC) N/A 08/28/2015
15-50 PDF Revised Quality Indicator Survey (QIS) Training Process and Clarification of Trainer Roles and Responsibilities N/A 08/28/2015
15-49 PDF Final Rule: SNF Medicare FY 2016 Payments, Quality Reporting, Value-Based Purchasing and Staffing Data Collection Requirements — Informational Only N/A 08/07/2015
15-48 PDF Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) Appendix J, Part II - Clarifications to the Interpretive Guidance at Tag W187 for §483.430(d)(3) N/A 07/17/2015

All S&C Letters

State Survey and Certification Clarification (S&CC) Memos (five most recent displayed)
Number Title Date
2015-01 PDF Complaint and Incident Intake Functions (Replaces S&CC 03-08) 04/12/2015
2014-08 PDF Locked Units in Assisted Living Facilities without an Alzheimer’s Certification 11/05/2014
2014-06 PDF Locked Units in Nursing Facilities without an Alzheimer’s Certification 10/22/2014
2014-04 PDF Employee Misconduct Registry (EMR), Medication Aide Registry (MAR), and Nurse Aide Registry (NAR) Referral Process 08/21/2014
2014-02 PDF Forwarding Copy of Investigation Narrative to Appropriate Law Enforcement Agency and District Attorney (Replaces S&CC 99-13) 06/23/2014

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: October 5, 2015