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26 Tex. Admin. Code Ch. 558 - Licensing Standards for Home and Community Support Services Agencies (Subchapter B, Criteria and Eligibility, §§ 558.11, 558.13)

TexasregulationTexas Health and Human Services Commission (HHSC)

What this rule requires your agency to do

  • 1The agency must ensure its administrator and alternate administrator (and, where applicable, the supervising nurse and alternate) complete the Presurvey Training before submitting a license application. (26 Tex. Admin. Code § 558.13(a))(26 Tex. Admin. Code Ch. 558 - Licensing Standards for Home and Community Support Services Agencies (Subchapter B, Criteria and Eligibility, §§ 558.11, 558.13))
  • 2The agency (applicant) must not admit a client or initiate services until it has been issued a license by HHSC. (26 Tex. Admin. Code § 558.11(a))(26 Tex. Admin. Code Ch. 558 - Licensing Standards for Home and Community Support Services Agencies (Subchapter B, Criteria and Eligibility, §§ 558.11, 558.13))
  • 3The agency must maintain a Texas address (though an out-of-state entity may operate as a parent agency). (26 Tex. Admin. Code § 558.11(e))(26 Tex. Admin. Code Ch. 558 - Licensing Standards for Home and Community Support Services Agencies (Subchapter B, Criteria and Eligibility, §§ 558.11, 558.13))
  • 4The agency applicant must be at least 18 years of age. (26 Tex. Admin. Code § 558.11(f))(26 Tex. Admin. Code Ch. 558 - Licensing Standards for Home and Community Support Services Agencies (Subchapter B, Criteria and Eligibility, §§ 558.11, 558.13))
  • 5The agency must apply for licensure in one or more of the prescribed service categories (including personal assistance services) that covers the services it provides. (26 Tex. Admin. Code § 558.13(b)-(c))(26 Tex. Admin. Code Ch. 558 - Licensing Standards for Home and Community Support Services Agencies (Subchapter B, Criteria and Eligibility, §§ 558.11, 558.13))
  • 6An agency requesting licensed and certified home health services must apply to CMS for Medicare certification and comply with the applicable Medicare conditions of participation during the certification process. (26 Tex. Admin. Code § 558.13(d))(26 Tex. Admin. Code Ch. 558 - Licensing Standards for Home and Community Support Services Agencies (Subchapter B, Criteria and Eligibility, §§ 558.11, 558.13))

Applies to: Home and Community Support Services Agencies (HCSSA) — home health, personal assistance services, and hospice providers operating in Texas

Chapter 558 of Title 26 of the Texas Administrative Code establishes the licensing standards administered by HHSC for Home and Community Support Services Agencies (HCSSAs), which include home health, personal assistance services, and hospice providers. Subchapter B sets out the criteria and eligibility, application procedures, and license categories an agency must satisfy before admitting clients or initiating services.

Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.