The Texas Health and Human Services Commission has issued a new provider letter (PL 2022-14) clarifying the expectations regarding minors residing in assisted living facilities (ALFs). According to the letter, ALFs are not intended to provide care for individuals under the age of 18 unless they are emancipated minors. Any ALF housing non-emancipated minors must find alternative placement for them and not allow them to continue residing in the facility. The Commission is updating ALF rules to explicitly state this restriction. ALFs must also follow discharge rules specified in §553.267(a)(3)(Y). This new guidance impacts nursing homes and healthcare facilities by requiring them to ensure that minors are not housed in their ALFs unless they are emancipated.

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