June 19th, 2023

HCS & CFC Certification Standards Adopted 
As of June 21st, 2023 the new HCS & CFC Standards will be effective.
These rules were transferred from Chapter 9 to Chapter 565, including both newly added rules (Ch. 263) and rules from Chapter 9  which have been revised to ensure clarity.  HHSC intends to post an Information Letter regarding the rules which will review each section of the rules in the document we have included below, as well as, those rules which have been removed.

HHSC will also conduct several webinars to review the rules with providers.  Providers can already register for the webinars.
July 5th from 11:30 a.m. to 1:30 p.m.
July 11th from 4:00 p.m. to 6:00 p.m.


-The rules describe the following certification standards

Service Delivery

Rights of individuals

Requirements related to abuse, neglect, and exploitation

Staff Member and Service Provider requirements

Quality Assurance


-In Addition:

Requirements from The Residential Checklist

New Requirements for Emergency Preparedness, Fire Drills, and Evacuation Drills in all residential types in the HCS program.

The Rules will have increased oversight of HCS host home/companion care homes

There is a clarification of Restraint and Seclusion Requirements

Adds language for Restricting the Use of Enclosed Beds.


-In addition, there is the modification of The HHSC surveyor requirements that will allow for survey flexibility as the HCS waiver program evolves.