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Resources are listed below for assisted living and other long-term care providers.

Texas Regulatory Guidance and References

Assisted Living Facilities (ALF)

Licensing Standards for Assisted Living Facilities Type A & B (TAC Title 26, Part 1, Chapter 553, Sub chapter C:$ext.ViewTAC?tac_view=4&ti=26&pt=1&ch=553

Home & Community-based Services (HCS):

HOME AND COMMUNITY-BASED SERVICES (HCS) PROGRAM AND COMMUNITY FIRST CHOICE (CFC)(TAC Title 40, Part 1, Chapter 9, Sub chapter D):$ext.ViewTAC?tac_view=5&ti=40&pt=1&ch=9&sch=D&rl=Y

Nursing Facilities

Nursing Facilities (NF) (TAC Title 26, Part 1, Chapter 554):$ext.ViewTAC?tac_view=4&ti=26&pt=1&ch=554

Nursing Homes Code of Federal Regulations:

Nursing Home Crosswalks:

Long-term Care Resources 

Contracting with HHS 


Provider letters are documents informing providers of updated regulation, changes in governance, and other important changes to assisted living facility requirements:

Health and Safety Code:

Ombudsman Programs:

HHS Forms site:

Texas Food Establishment Rules:

National Fire Protection Association

Life Safety Code (NFPA 101) for facility construction and management:


National Fire Protection Association Standard for the Installation of Sprinkler Systems


NFPA 13 Standard for the Installation of Sprinkler Systems (

NFPA 13D Standard for the Installation of Sprinkler Systems in One- and Two-Family Dwellings and Manufactured Homes


NFPA 13R Standard for the Installation of Sprinkler Systems in Low-Rise Residential Occupancies

Behavioral Health Services Providers (Clinics, HCBS-MH, YES, Substance Abuse, etc.)

Other Guidance and References for Providers 

Centers for Medicare and Medicaid Services. (2018). National Provider Identification number:


Cornell University ILR School Employment and Disability Institute. (n.d.). Person Centered Planning Education Site.


Internal Revenue Service. (n.d.). Business Structures.


National Institute on Aging (n.d.). What Is Long-Term Care?


Texas Health and Human Services. (n.d.). What is Long-term Care?


Doing Business with Health and Human Services

Medicaid & CHIP (Texas)

Managed Care Contracts and Manuals

Coronavirus (COVID-19) Provider Information

Area Agencies on Aging

Dementia Resources

James L West Center for Dementia Care (Training  & Events)

Alzheimer's Association

Resources for current and future residents of assisted livig

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