Ready to Get Started? Book a Free Strategy Call
888-818-8426 connect@thebizofseniorcare.com Free Consultation
⭐
The Lone Star State

Home Care Licensing
in Texas

Navigate Texas's home care, home health, and hospice licensing requirements with expert guidance from TBOSC. From application to survey success — we'll help you launch with confidence.

Schedule a Free Discovery Call Explore Texas Licensing
HHSC
Regulatory Body
Texas Health and Human Services Commission (HHSC)
3
License Types
Home Care, Home Health, Hospice
100%
Survey Pass Rate
All TBOSC-prepared agencies

Quick Answer — Texas Home Care Licensing

To start a home care agency in Texas, you need a Home and Community Support Services (HCSS) License issued by the Health and Human Services Commission (HHSC). The application process typically takes 60–90 days and costs approximately $2,625+.

License Required
HCSS License
Regulatory Body
HHSC
Timeline
60–90 days
Application Cost
$2,625+
Read the full Texas licensing guide | Visit hhs.texas.gov
Stay Informed

Texas Licensing Updates & Insights

Get notified when Texas regulations change. Join agency owners and administrators who stay ahead with TBOSC.

Texas at a Glance

Texas Home Care Licensing
Quick Reference

REGULATORY BODY
HHSC
Texas Health and Human Services Commission (HHSC)
LICENSE TYPES
3 Categories
Home Care, Home Health, Hospice
CON REQUIRED
No
Certificate of Need not required in Texas
MEDICAID PROGRAM
Community Attendant Servi
Community Attendant Services (CAS)
Texas License Categories

Types of Home Care Licenses
Available in Texas

NON-MEDICAL
Non-Medical Home Care
Non-medical home care services in Texas including personal care, homemaking, companionship, and assistance with activities of daily living.
  • Personal care and assistance with daily living activities
  • Companionship and homemaker services
  • Medication reminders and oversight
  • Transportation and errand assistance
SKILLED / MEDICAL
Home Health Agency
Medicare-certified home health agencies in Texas providing skilled medical services including nursing, therapy, and social work under physician direction.
  • Skilled nursing care under physician orders
  • Physical, occupational, and speech therapy
  • Medical social work services
  • Home health aide services under clinical supervision
END-OF-LIFE
Hospice Care
Hospice care programs in Texas providing palliative care, comfort, and support for patients with terminal diagnoses and their families.
  • Comfort care and pain management
  • Skilled nursing and physician oversight
  • Bereavement counseling and spiritual support
  • Medical social work and volunteer coordination
The Licensing Process

How to Get Licensed
in Texas

Follow these key steps to obtain your Texas home care license. TBOSC provides expert guidance at every stage — from initial application through your state survey.

01
Business Entity Formation
Register your business entity with the Texas Secretary of State. Choose your LLC or corporation structure and obtain your EIN.
FOUNDATION
02
Prepare Application Materials
Gather all required documentation including organizational documents, administrator qualifications, background checks, and proof of insurance as required by HHSC.
DOCUMENTATION
03
Submit License Application
Complete and submit your license application to HHSC along with all required documentation and fees.
APPLICATION
04
Develop Policies & Procedures
Create a comprehensive P&P manual meeting all Texas regulatory requirements. TBOSC provides state-specific P&P packages.
COMPLIANCE
05
Pass State Survey
Prepare for and pass the state survey conducted by HHSC. TBOSC provides expert survey prep consulting.
SURVEY
What TBOSC Provides

Texas Licensing
Services & Support

Get Started Today
FULL SERVICE
Licensure Success Package
Complete end-to-end support for getting your Texas agency licensed — from application prep through survey success.
Schedule a Call
DOCUMENTATION
Texas-Specific P&Ps
Comprehensive policies and procedures written specifically for Texas's regulatory requirements — not generic templates.
Schedule a Call
COMPLIANCE
Survey Guidance
Expert preparation for your Texas state survey. We'll make sure you're ready to pass with zero deficiencies.
Schedule a Call
ACCREDITATION
Accreditation Expertise
National accreditation guidance for CHAP, ACHC, and Joint Commission — streamlining your path to recognition.
Schedule a Call
ENROLLMENT
Medicare Provider Enrollment
Navigate the Medicare enrollment process for your Texas agency. We handle the paperwork and follow-through.
Schedule a Call
Required Administrator Training

Texas 8-Hour
Administrator Course

The only online course approved by Texas Health and Human Services Commission (HHSC) with an instructor who has run a home care agency. Meets the 8-Clock Hour requirement for Administrators and Alternates under 26 TAC §558.259(c).

  • HHSC approved for LHH, L&CHH, PAS & Hospice
  • 3 interactive video modules — 8 CEU hours
  • Instant Certificate of Completion
  • 100% online — complete at your own pace, 24/7
  • Bonus: Survey & POC Guide + 8-Binder Policy System
Learn More & Enroll — $179 Enroll Directly — $179
HHSC APPROVED
Essentials for
Administrators
$179
One-time payment
3Modules
16Lessons
8CEU Hours
View Full Course Details →
Texas Client Results

What Texas Agencies Say About TBOSC

★★★★★
Consulting & P&Ps
TBOSC made the licensing process in Texas so much easier. Their knowledge of the state regulations was invaluable, and we passed our survey with zero deficiencies.
Sarah
Houston, TX
★★★★★
New Agency Startup
Starting a home care agency in Houston felt overwhelming until we found TBOSC. Lucas walked us through every step and we launched successfully.
Michael
San Antonio, TX
★★★★★
Consulting & P&Ps
The policies and procedures package TBOSC provided was perfectly tailored to Texas's requirements. We felt completely prepared for our state survey.
Jennifer
Dallas, TX
★★★★★
Survey Preparation
Working with TBOSC was one of the smartest investments we made. Their survey preparation guidance gave us the confidence we needed to pass on the first try.
Robert
Austin, TX
★★★★★
Licensing Guidance
TBOSC's expertise in Texas licensing requirements saved us months of time. They knew exactly what the state was looking for.
Amanda
Fort Worth, TX
★★★★★
Consulting
We highly recommend TBOSC to any home care agency in Texas. Their responsiveness and deep regulatory knowledge set them apart.
David
El Paso, TX
Why TBOSC for Texas

Expert Texas Licensing
Consulting You Can Trust

TBOSC was started by a home care operator who understands the challenges of starting and running an agency. We bring that hands-on experience to every Texas client we serve.

Deep Texas Regulatory Expertise
TBOSC brings expert knowledge of Texas's specific licensing requirements, including Health & Safety Code Ch. 142. We stay current as regulations change so you don't have to.
100% Survey Pass Rate Nationwide
Every TBOSC client that has completed our licensing and survey preparation process has passed their initial state survey. That track record extends to Texas agencies.
Texas-Specific P&Ps
Our policies and procedures packages are written specifically for Texas's regulatory framework — not generic templates. They're updated as regulations change.
End-to-End Licensing Support
From initial application through survey preparation, TBOSC guides you through every step of the Texas licensing process. We handle the complexity so you can focus on your agency.
Texas Results
0%
First-survey pass rate for TBOSC clients nationwide
0+
Home care agencies & leaders served across the country
50
States where TBOSC provides licensing and compliance consulting
Only
Consulting company built by a former home care agency operator
ACHC Strategic Partner Logo

Official ACHC Strategic Partner

The Business of Senior Care is an official Strategic Partner of the Accreditation Commission for Health Care (ACHC) — one of the most respected accreditation bodies in the home care industry. Learn about ACHC accreditation →

Common Questions

📖 Want the complete step-by-step guide?

Read our full guide: How to Start a Home Care Agency in Texas (2026 Guide) →

Frequently Asked Questions About
Texas Home Care Licensing

How long does it take to get licensed in Texas?
The timeline varies depending on your license type and application completeness. 120 days for initial if complete; 45 days processing Working with TBOSC can significantly reduce delays by ensuring your application is complete from the start.
What types of home care licenses does Texas offer?
HCSSA licenses: Personal Assistance Services (PAS) for home care; Licensed Home Health Services (LHHS); Licensed & Certified Home Health Services (L&CHHS); Hospice Services TBOSC can help you determine which license type is right for your business model and guide you through the specific requirements.
What is the application fee for a license in Texas?
$2,625 for initial 3-year license In addition to application fees, budget for business formation, insurance, office space, and policies and procedures documentation. TBOSC can help you create a detailed startup budget.
What happens during the Texas state survey?
A surveyor from HHSC will review your policies and procedures, verify documentation, inspect your office, and confirm you meet all regulatory requirements. TBOSC provides dedicated survey prep consulting to help you pass with zero deficiencies.
Can TBOSC help with Medicare and Medicaid enrollment in Texas?
Yes. Texas's Medicaid program (Community Attendant Services (CAS)) offers opportunities for home care providers. TBOSC assists with Medicare provider enrollment and Medicaid waiver program applications.
Ready to Move Forward?

Let's Get Your Texas
Agency Licensed & Open

Whether you're starting from scratch or need help at a specific stage, TBOSC offers 1-on-1 consulting tailored to exactly where you are in the process.

Schedule a Free Discovery Call Call 888-818-8426
All 50 States

Browse Other States

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming