Texas Personal Assistance Services Agency Complete Startup Package

This package is designed for a Texas Home and Community Support Services Agency licensed in the Personal Assistance Services category, commonly referred to as a HCSSA-PAS agency.

It is intended for non-medical personal care services. It does not include licensing for hospice, dialysis, Medicare-certified home health, or other skilled home health categories.

A Personal Assistance Services agency provides routine, ongoing assistance that helps an individual perform activities of daily living or the physical functions needed to live independently.

Services may include personal care, respite services, assistance with self-administered medications, and certain health-related tasks that are permitted under Texas law. Depending on the task and the client’s condition, an RN may be required to assess the client, delegate the task, verify caregiver competency, and provide appropriate supervision.

Texas Home and Community Support Services Agencies are licensed and regulated by the Texas Health and Human Services Commission through Long-Term Care Regulation.

Applications and supporting information are generally submitted through the Texas Unified Licensure Information Portal, commonly called TULIP.

The current initial licensing fee for a three-year HCSSA parent-agency license is $2,625.

State fees are subject to change.

No. The Texas HHSC licensing fee is separate from the Home Health Forms Startup Package price and must be paid directly to the appropriate Texas Health and Human Services.

Exact requirements depend on the applicant's ownership structure and application details. An initial PAS application generally requires:

• A completed HCSSA application submitted through TULIP.
• Business and organizational information.
• Ownership and controlling-person disclosures.
• The agency's physical location, contact information, operating hours, and proposed service area.
• Identification and qualification information for the administrator and alternate administrator.
• Signed completion certificates for required HCSSA Presurvey CBT modules.
• Business-registration and good-standing information when applicable.
• Required supporting documents and the state licensing fee.

Home Health Forms will provide guidance.

Yes. A PAS agency must designate both a qualified administrator and a qualified alternate administrator.

Both individuals must meet applicable qualification requirements and complete required training. A PAS-only agency is not automatically required to employ a supervising nurse solely because it holds the PAS category. Nursing involvement may still be needed when the agency performs delegated health-related tasks.

The agency must maintain a designated place of business. A separate commercial office is not necessarily required, and a residence may be used when it is the agency's actual place of business and all applicable requirements are met.

The location must satisfy requirements concerning operating hours, record accessibility, surveyor access, contact information, and display of the license after it is issued. Applicants should also verify local zoning, lease, deed-restriction, and homeowners-association requirements.

Texas HHSC states that the licensing unit may take up to 45 days to process a thoroughly complete application. The total startup process may take longer.

After an initial license is issued and the agency admits its first client, additional survey requirements and deadlines may apply.

A properly licensed PAS agency may provide personal care and respite services. Depending on the client's needs and applicable requirements, services may include:

• Bathing and personal hygiene assistance.
• Dressing and grooming.
• Feeding assistance.
• Toileting and continence assistance.
• Positioning, transfers, and ambulation assistance.
• Routine hair and skin care.
• Exercise and range-of-motion assistance.
• Respite services.
• Assistance with self-administered medications.

Certain health-related tasks may be performed only when applicable Texas nursing-delegation, training, supervision, competency, and documentation requirements are satisfied.

A PAS-only license does not independently authorize the agency to operate as a skilled home health agency, hospice, dialysis provider, or Medicare-certified home health agency.

Professional nursing, physical therapy, occupational therapy, speech therapy, respiratory therapy, and other skilled services generally require the appropriate additional license category and properly qualified personnel.

An agency may provide only the services authorized under the categories listed on its license.

The Texas Personal Assistance Services Agency Complete Startup Package may include:

• A professionally designed company logo.
• A customized WordPress business website.
• One year of website hosting.
• One year of domain registration.
• 500 customized business cards.
• 500 customized tri-fold brochures.
• Texas-specific policies and procedures.
• Human-resources documents.
• New-client admission documents.
• Operational and administrative forms.
• Preparation assistance for the Texas HCSSA-PAS application.
• Access to the Home Health Forms members' area.
• Customization of documents to the purchaser's agency.
• Ongoing guidance and applicable document updates.

Unless specifically stated in writing, the Startup Package price does not include:

• The Texas HHSC licensing fee.
• Office rent, deposits, utilities, or furnishings.
• Insurance premiums.
• Employee wages, payroll expenses, or employment taxes.
• Background checks or fingerprinting fees.
• Other expenses not specifically identified as included.

No. Home Health Forms provides startup guidance, customized documents, and application-preparation assistance. The Texas Health and Human Services Commission makes all licensing decisions.

The applicant remains responsible for providing complete and truthful information, meeting personnel and office requirements, paying state fees, completing required training, responding to state requests, and maintaining compliance with applicable laws and regulations.

Licensing approval and processing times cannot be guaranteed.

Customized policy manuals, forms, and related digital documents are generally emailed within five business days after Home Health Forms receives all company information needed to complete the customization.

website development, domain registration, printing, shipping, and other package components may have separate production timelines.

Cancellation and refund eligibility depends on the work already completed, customized materials produced, digital products delivered, third-party expenses paid, printing ordered, and other services already performed.