The Long-Term Care Regulation Provider Letter PL 2023-04 informs Home and Community Support Services Agencies (HCSSA) that they must fill out Form 6325, HCSSA Medicare Relocation Questionnaire for agency relocations. Certified HCSSA agencies are required to complete this form when submitting a relocation application, a renewal application while relocating, or a change of ownership application during relocation. The questionnaire must be uploaded in the Texas Unified Licensure Information Portal (TULIP). The Health and Human Services Commission (HHSC) will use the questionnaire to determine whether to approve or deny the relocation of the certification. Failure to notify the Medicare Administrative Committee (MAC) may result in revocation of billing privileges or possible termination from Medicare. HCSSAs can access the Medicare Enrollment Application to report changes at the specified website, and contact Policy and Rules for any questions regarding the letter.

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