HCSSAs are expected to take the initiative and responsibility for monitoring their own performance continuously so that they are always in compliance.

HHSC surveyors conduct surveys of HCSSAs to determine if the care they provide meets minimum state requirements and minimum federal requirements if applicable (26 TAC §558.525). When a surveyor finds evidence that applicable requirements are not being met, a violation or deficiency is written.

Providers should not rely on surveys or investigations to identify compliance problems. The diligent implementation of required internal processes, such as the analysis of satisfaction surveys and the Quality Assurance and Performance Improvement process, will help the agency identify and address compliance problems proactively.