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 licence first, then pursue Medicare certification.
What’s included
- HCSSA licence application (Licensed and Certified category) prepared end to end.
- 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 licence.
- 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 licence 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 60–90 days, then survey and certification. New Medicare enrolment is paused nationwide until at least November 2026, and Texas is a heightened claim-review state — so we get your licence and compliance fully ready to enrol the moment it reopens. Fees and timelines change, so we confirm current figures with HHSC and CMS as part of your project.
Ideal for
Providers who intend to bill Medicare for skilled home health in Texas and want to be first in line when enrolment reopens.
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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