Implementing Nursing Services in HCS, TxHmL and ICF/IIDs

This website is for providers and nurses in the following Texas Department of Aging and Disability Services (DADS) programs:

This site provides information, guidance and resources pertaining to:

  • The application of the Texas Board of Nursing (BON) rules
  • The Nurse Practice Act (Texas Occupation Code, Title 3, Chapter 301, Nurses)
  • Senate Bill 1857, introduced in the 82nd Texas Legislature, Regular Session 2011 (Human Resources Code, Title 11, Chapter 161, Subchapter D)
  • Program rules in the HCS and TxHmL waiver programs administered by DADS
  • Program rules in the ICF program administered by DADS


News & Alerts

Letters (Provider (PL) and Information (IL))
Number Title Date
IL 2015-24 /
PL 2015-05
Licensed Vocational Nurse On-Call Pilot Program Ends September 1, 2015 03/26/2015
PL 2013-22 / IL 2013-46 PDF Licensed Vocational Nurse On-Call Pilot Participation Survey 08/05/2013
IL 2013-47 PDF Random Sampling for the Licensed Vocational Nurse (LVN) On-Call Pilot Program 08/12/2013
PL 2013-21 PDF Random Sampling and Deceased Individual Information Needed for the Licensed Vocational Nurse (LVN) On-Call Pilot Program 08/09/2013
PL 2012-19 PDF Texas Board of Nursing (BON) Rules (Replaces Provider Letter 12-04) 09/07/2012
IL 2012-46 Changes to Information Letter No. 11-151, Enforcement Schedule for Nursing Changes for HCS Waiver Program Note:
Note: This letter was retired on 7/31/2013 as the information contained is no longer valid and/or now contained in rule language.
IL 2012-11 Comprehensive Nursing Assessment (Removed on June 8, 2012) 05/29/2012
PL 2012-12 PDF Medication Administration by an Unlicensed Person and Clarification of the Texas Board of Nursing (BON) Registered Nurse (RN) Delegation Rules (Replaces Provider Letter 11-31) 04/05/2012
IL 2012-22 / PL 2012-11 Entering Nursing On-Call Service Data into the Client Assignment and Registration (CARE) System Note: This letter was retired on 5/29/2013 per Regulatory Services -- this practice is being discontinued entirely. 01/26/2012
IL 2011-152 PDF Maintaining Accurate Information of Delegation Status in HCS Foster/Companion Care Homes 01/19/2012

All provider letters for nursing services changes

Selected State Survey and Certification Clarification (S&CC) Memos
Number Title Date
2013-02 PDF Referrals to an Incident-based Nursing Peer Review Committee (NPRC) or the Texas Board of Nursing (BON) (Replaces S&CC 02-17) 03/27/2013

All S&CC Memos

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Updated: May 1, 2015