HHSC licenses HCSSAs to ensure compliance with state licensing requirements. State licensure is based on the Texas Health and Safety Code (HSC) and the rules promulgated in Title 26 of the Texas Administrative Code (TAC); all HCSSAs must be licensed.

Optional federal certification for home health and hospice agencies is based on the Code of Federal Regulations (CFR) and requirements promulgated through the Centers for Medicare & Medicaid Services (CMS).

Providers must demonstrate not only compliance with the requirements, but also:

• their ability to remain in compliance continually; and
• that the corrective actions and follow-up methods implemented ensure the deficient practice does not recur.

State Licensure Requirements: Title 26 TAC, Part 1, Chapter 558

Federal Home Health Certification Requirements: Title 42 CFR, Part 484

Federal Hospice Certification Requirements: Title 42 CFR, Part 418