Texas Home Care Compliance Requirements

Everything your home care agency needs to know about compliance in Texas. Regulated by the Texas Health and Human Services Commission (HHSC).

75 hrs

Initial Training

12 hrs

Annual Training

Every 60 days

Supervision

Required

Fingerprints

Regulatory Authority

Agency:Texas Health and Human Services Commission (HHSC)
License Type:Home and Community Support Services Agency License
Regulation:Tex. Health & Safety Code § 142.001

Training Requirements

75 hours

Initial training required

12 hours

Annual continuing education

Citation: 26 TAC § 558.259

Background Check Requirements

  • Texas DPS Criminal Background CheckRequired
  • FBI National Criminal CheckRequired
  • Employee Misconduct Registry (EMR)Required
  • Texas Nurse Aide RegistryRequired
  • OIG Exclusion ListRequired

Fingerprinting required: DPS Fingerprint

Citation: 26 TAC § 558.256

Supervision Requirements

Texas requires supervisory visits every 60 days.

Citation: 26 TAC § 558.261

Abuse Registry

Checking the Texas Employee Misconduct Registry is required for all staff.

Citation: Tex. Health & Safety Code § 253.007

Additional Requirements

  • HHSC license required for home and community support services
  • Fingerprint-based criminal history check required

What the Compliance Snapshot Covers

Licensing & Operations

Agency license status, policies, incident reporting, and quality assurance programs.

Personnel Files

Employee documentation, signed agreements, I-9 verification, and tax form compliance.

Background Screening

Criminal background checks, OIG exclusion verification, and re-screening schedules.

Health & Safety

TB screening, CPR/First Aid certifications, infection control, and PPE protocols.

Training & Competency

Orientation programs, competency evaluations, and annual continuing education hours.

Care Delivery

Care plans, electronic visit verification (EVV), and supervisory visit compliance.

Documentation Integrity

Document expiration tracking, audit trail maintenance, and record-keeping standards.

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