Texas Health and Human Services(HHS)
The Texas Health and HumanServices (HHS) licenses, certifies and surveys home and community support services agencies (HCSSAs) for compliance with state and federal laws and regulations. Through these regulatory activities, HHSprotects Texas citizens receiving home health, hospice and personal assistance services. Licensing Standards for Home and Community Support Services Agencies Handbook.
Texas Administrative Code
- Licensing Standards for Home and Community Support Services Agencies (Title 4, Part 1, Chapter 97)
- Denial or Refusal of License (Title 40, Part 1, Chapter 99)
- Employee Misconduct Registry (EMR) (Title 40, Part 1, Chapter 93)
Texas Family Code
- Investigation of Report of Child Abuse or Neglect (Title 5, Chapter 261)
Texas Health and Safety Code
- Home and Community Support Services (Title 2, Chapter 142)
- Communicable Diseases (Title 2, Chapter 81)
- Acquired Immune Deficiency Syndrome and Human Immunodeficiency Virus Infection (Title 2, Chapter 85)
- Advance Directives (Title 2, Chapter 166)
- Nurse Aide Registry and Criminal History Checks of Employees and Applicants for Employment in Certain Facilities Serving the Elderly or Persons with Disabilities (Title 4, Chapter 250)
- Employee Misconduct Registry (Title 4, Chapter 253)
- Consent to Medical Treatment Act (Title 4, Chapter 313)
Texas Human Resources Code
- Investigations and Protective Services for Elderly and Disabled Persons (Title 2, Chapter 48)
- Rights of the Elderly (Title 6, Chapter 102)
Texas Occupations Code
- Solicitation of Patients (Title 3, Chapter 102)
Department of Family and Protective Services (DFPS)
DFPS has a central place to report abuse, neglect and exploitation. Per licensing standards for HCSSA rule 97.249, If an agency has cause to believe that a client served by the agency has been abused, neglected, or exploited by an agency employee, the agency must report the information immediately (within 24 hours) to DFPS AND DADS at (800) 458-9858.
- Provider Self-Reporting. Licensed or certified DADS providers must notify the agency if someone in their care has been or may be physically or mentally abused, neglected or exploited.
- Employee Misconduct Registry. The purpose of the Employee Misconduct Registry is to ensure that unlicensed personnel who commit acts of abuse, neglect, exploitation, misappropriation, or misconduct against residents and consumers are denied employment in DADS-regulated facilities and agencies.
Department of State Health Services (DSHS)
The Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) service is Medicaid's comprehensive preventive child health service for individuals from birth through 20 years of age. In Texas, EPSDT is known as Texas Health Steps (THSteps), which includes the preventive care components, or Early and Periodic Screening (EPS), of the total EPSDT service. In addition, medically necessary health-care services are provided to children and adolescents enrolled in THSteps even if the service is not available under the state’s Medicaid plan to the rest of the Medicaid population. In Texas, these additional services are available through the Comprehensive Care Program (CCP).
Health & Human Services Commission (HHSC)
- Medicaid/CHIP Overview and News
- Medicaid Managed Care Expansion
- Medicaid Medical and Dental Policy. Here you will find Medicaid medical policies that are available for review and comment.
- Medicaid Claims and Enrollment. (For Acute Care Services) The Texas Medicaid and Healthcare Partnership (TMHP), currently contracted through Accenture, enrolls providers in the Texas Medicaid program and other state healthcare programs.
- Re-Enrollment. For Texas Medicaid Long Term Services and Supports. This site is specific to those providers who do not bill, or intend to bill, for acute care services through TMHP and have an active Medicaid contract with DADS must enroll or re-enroll through DADS.
Medicaid Health Partnership Provider Page (TMHP)
- Texas Medicaid Provider Procedural Manual. This manual is a comprehensive guide for Texas Medicaid providers. It contains information about Texas Medicaid fee-for-service benefits, policies, and procedures including medical, dental, and children’s health services.
- Online Fee Lookup. This page will allow you to lookup the fee schedules for Texas Medicaid, Department of State Health Services (DSHS) Family Planning Program, (DSHS) Primary Health Care Program, (DSHS) Expanded Primary Health Care Program and the Children with Special Health Care Needs (CSHCN) Services Program. Users can search for fee information for specific codes. To use a general fee schedule, Medicaid providers can click Static Fee Schedules.
- Federal Medicaid Re-enrollment or Re-verification. Texas Medicaid must comply with federal regulations which require all providers to revalidate their enrollment information every three to five years. In accordance with this mandate, the Centers for Medicare & Medicaid Services (CMS) require that states complete the initial re-enrollment of all providers by March 24, 2016. For Texas Medicaid, any provider enrolled before January 1, 2013, must be fully re-enrolled by March 24, 2016. Providers can begin this process immediately.
- TMHP Learning Management System (LMS). The TMHP LMS is available to all providers and includes computer-based-training (CBT) documents, webinars, and provider workshop materials. To access the LMS, providers must register and obtain a username. Click here to access the “How to register for the LMS” job aid. The LMS allows providers to: View the course catalog; Enroll in courses; View enrollments; View LMS Resources