What this is
End-to-end support for Licensed and Certified Home Health Services (L&CHH) in Texas: the HCSSA category for skilled home health that bills Medicare, at HHSC (26 TAC Chapter 558). Texas follows a clear ‘license then certify’ path: secure the HCSSA license first, then pursue Medicare certification.
What your Texas Licensed and Certified Home Health package includes
- HCSSA license application (Licensed and Certified category) prepared end to end. The HHSC fee is $2,625 for a three-year license.
- Administrator & alternate setup with the required 8-hour HHSC administrator training; parent/branch structure where relevant.
- Medicare certification readiness: CMS-855A, the CMS application fee and survey/accreditation, sequenced after the state license.
- Policies & procedures built to Texas HCSSA standards and the federal Conditions of Participation.
How it works
- Kick-off call to confirm the L&CHH category and certification plan.
- We prepare your license application, policies and certification package.
- You review; we refine until it is right.
- We guide submission and stay with you through licensure and certification readiness.
Indicative timeline: HCSSA processing commonly 60 to 90 days, then survey and certification. New Medicare enrollment is paused nationwide until at least November 2026, and Texas is a heightened claim-review state, so we get your Texas Licensed and Certified Home Health agency fully ready to enroll the moment it reopens. Fees and timelines change, so we confirm current figures with HHSC and CMS as part of your project.
Who should choose Texas Licensed and Certified Home Health
Providers who intend to bill Medicare for skilled home health in Texas and want to be first in line when enrollment reopens. Our guide to Texas HCSSA license categories explains how this route differs from Licensed Home Health.
Why choose Cura
Published pricing, set before any work begins. Delivered entirely online. Trained under one of the world’s most exacting healthcare regulators.
Our promise
If we are not the right fit for your situation, we will tell you, and point you to who is.








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