This page provides a subset of communications from HHS to its services providers and shows the five most recent items in each category.

Please note that items dated before Sept. 1, 2017, were created by HHSC'S legacy agencies — Texas Department of Aging and Disability Services, Texas Department on Aging, Texas Department of Human Services or Texas Department of Mental Health and Mental Retardation.

Letters [Provider (PL) and Information (IL)]

Number Title Date
PL 2020-44 PDF COVID-19 Response - Expansion of Reopening Visitation Note:
replaces PL 20-38
PL 2020-43 PDF COVID-19 Response - Expansion of Reopening Visitation Note:
replaces PL 20-38
PL 2020-42 PDF COVID-19 Response - Expansion of Reopening Visitation Note:
replaces PL 20-38
IL 2020-44 PDF Changes to HHSC Approved Diagnostic Codes for Persons with Related Conditions List (This letter replaces IL 19-25) 10/12/2020
IL 2020-43 PDF ICF/IID Services During COVID-19 09/30/2020

All information and provider letters

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Federal Survey and Certification (S&C) Letters

Number Title Contact
18-08 PDF An Initiative to Address Facility Initiated Discharges that Violate Federal Regulations N/A 12/26/2017
18-02 PDF Clarification regarding Nurse Aide Training and Competency Evaluation Program (NATCEP/CEP) Waiver and Appeal Requirements N/A 10/27/2017
18-01 PDF Revised Policies regarding the Immediate Imposition of Federal Remedies- FOR ACTION N/A 10/27/2017
17-47 PDF Advance Notice Solicitation Deadline - National Background Check Program N/A 09/29/2017
17-45 PDF Electronic Staffing Submission - Payroll-Based Journal (PBJ) Public Use File N/A 09/25/2017

All S&C Letters

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State Survey and Certification Clarification (S&CC) Memos

Number Title Date
2016-11 PDF New Rules for HCSSAs Providing Habilitation 09/06/2016
2016-05 Employee Misconduct Registry (EMR), Nurse Aide Registry (NAR), and Medication Aide Registry (MAR) Referral Process 06/22/2016
2016-04 PDF Survey Revisit Guidance 06/08/2016
2016-02 PDF Prompt Reporting of Abuse, Neglect and Exploitation (ANE) 02/23/2016
2016-01 PDF Nursing Facility Administrator (NFA) License Verification 01/26/2016

All S&CC Memos

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Regional Survey and Certification (RS&C) Letters

Number Title Date
2017-05 PDF Temporary Facility Closure for Repair or Renovation 11/01/2017
2014-02 PDF Guidance for Processing Non-Compliance with State Licensure Requirements 05/16/2014
2012-04 PDF CMS Region VI-Dallas Delegation of Notification of the Imposition and Starting Date of Optional Denial of Payment for New Admissions to the State Survey Agencies in Region VI 03/14/2012
2012-02 PDF Procedural Instructions for Processing Certifications Concerning Legal Names and Doing Business as Names of Providers and Suppliers 02/17/2012
2012-01 PDF Voluntary Termination and Related Processes 02/10/2012

All RS&C Letters

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Updated: July 12, 2019