The Texas Health and Human Services Commission has issued a new provider letter (PL 2021-37) outlining the requirements for administrators and alternate administrators of Home and Community Support Services Agencies (HCSSAs). The letter details the qualifications, experience, and training necessary for these positions, as well as the responsibilities of the administrators. Nursing homes and healthcare facilities must designate one administrator and one alternate administrator for their agency's license, ensuring they meet all qualifications and conditions. Administrators are required to complete initial training and continuing education in accordance with the licensing standards. Agencies must maintain documentation of each administrator's qualifications for review by the commission. The alternate administrator is fully responsible for the duties of the administrator position when the administrator is unavailable. This letter replaces PL 15-17 and PL 16-16.

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