What this is
End-to-end support to license Licensed Home Health Services (LHH) in Texas under the HCSSA program at HHSC (26 TAC Chapter 558). This category covers skilled home health under state license without Medicare certification, ideal for serving private-pay and Medicaid clients.
What your Texas Licensed Home Health Services license package includes
- HCSSA license application (Licensed Home Health 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.
- Initial survey readiness (Form 2020 within six months of licensure), with accreditation (CHAP/Joint Commission) able to substitute for the state survey.
- Policies & procedures built to Texas HCSSA standards for skilled home health.
How it works
- Kick-off call to confirm the LHH category and structure.
- We prepare your HCSSA application and policies.
- You review; we refine until it is right.
- We guide submission and ready you for the initial survey through to approval.
Indicative timeline: application processing commonly 60 to 90 days, then the initial survey; Texas has no Certificate of Need. Because this category does not bill Medicare, it is unaffected by the current Medicare enrollment moratorium, which makes it a strong way to launch skilled care now. Fees and timelines change, so we confirm current figures with HHSC as part of your project.
Who needs a Texas Licensed Home Health Services license
Providers offering skilled home health in Texas to private-pay and Medicaid clients, without Medicare billing. See how this category compares with PAS, certified home health and hospice in our Texas HCSSA categories guide.
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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