The Texas Health and Human Services Commission has issued a new letter (PL 2021-35) regarding licensing requirements for in-home supportive palliative care. The letter clarifies that providers of in-home supportive palliative care services must hold a Home and Community Support Services Agencies (HCSSA) license with home health designation. Home health agencies should be aware that supportive palliative care services are best delivered in systemic environments with the entire array of services concurrently available to the client and family under physician direction. Hospice agencies must not admit and provide supportive palliative care to individuals who have not elected hospice or who are ineligible for hospice. Agencies wishing to provide supportive palliative care may apply for a home health agency license or add the home health category designation to their existing license.

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