The Texas Health and Human Services Commission has issued a new provider letter (PL 2021-41) regarding Health Maintenance Activities (HMAs) in Assisted Living Facilities (ALFs). The letter explains what HMAs are and how they can be used in ALFs. HMAs are specific tasks that require a higher level of skill than personal care services and are performed for residents with functional disabilities. The use of HMAs in ALFs is optional and based on an assessment by a Registered Nurse (RN). The letter provides examples of HMAs and tasks that cannot be designated as HMAs. It also outlines the requirements for RN assessments, documentation, and frequently asked questions related to HMAs. Nursing homes and healthcare facilities need to ensure that their staff is trained and competent in performing HMAs, and that proper documentation is maintained for each resident's service plan.

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