Texas HCSSA Policies and Procedures
Texas licenses home care, home health and hospice agencies the same way: each is a Home and Community Support Services Agency (HCSSA), licensed by HHSC under 26 TAC Chapter 558 in one or more license categories. Choose the manual for your category. Each is written to Chapter 558, the home health and hospice manuals also to the federal Conditions of Participation, and every policy names the rule section it follows.
Choose your type of agency
Each library is written to the state's own rules. Open one to read its free samples, see its price and search every policy in it.
Texas PAS Policy and Procedure Manual (HCSSA)
46 policies and 12 forms. For: HCSSA license, Personal Assistance Services (PAS).
See the policiesTexas Home Health Policy and Procedure Manual (LHHS)
56 policies and 42 forms. For: HCSSA license, Licensed Home Health Services (LHHS or LCHHS).
See the policiesTexas Hospice Policy and Procedure Manual (HCSSA)
59 policies and 47 forms. For: HCSSA license, Hospice services.
See the policiesWhich manual fits your license category
| License | For agencies that provide | Manual | Policies |
|---|---|---|---|
| Personal Assistance Services (PAS) | Non-medical help with personal care and daily living | Texas PAS Policy and Procedure Manual (HCSSA) | 46 |
| Licensed Home Health Services (LHHS or LCHHS) | Skilled nursing, therapy and aide visits at home | Texas Home Health Policy and Procedure Manual (LHHS) | 56 |
| Hospice | Care for people with a terminal illness, and their families | Texas Hospice Policy and Procedure Manual (HCSSA) | 59 |
Questions about Texas manuals
We are licensed in more than one category. Which manual do we need?
Each manual is written for one license category. If your agency is licensed in more than one, talk to us before you buy.
What about HHSC's proposed rewrite of Chapter 558?
HHSC proposed a rewrite of most of Chapter 558 in the Texas Register on September 18, 2026. It was not in force when these manuals were last reviewed, so the policies follow the rules in force today.
Can you help with the HCSSA license itself?
Yes, through Cura Compliance Consulting, which helps Texas agencies apply for an HCSSA license.
Licensing support in Texas
Cura Compliance Consulting helps agencies apply for their Texas license, get ready for the initial survey and open on time.
Policy manuals in other states
See Cura Core with your agency's name on it.
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