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LTSS Providers – Client Volume Confirmation Letter Required for Enrolling Unlicensed Assisted Living or Adult Foster Care Facilities in PEMS

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Long-term Services and Supports (LTSS) assisted living and adult foster care (AFC) facilities must be licensed by the Texas Health and Human Services Commission (HHSC) as assisted living facilities to enroll through the Provider Enrollment and Management System (PEMS).

If the facility renders services to a limited number of Texas Medicaid clients (three or fewer), a managerial employee must submit a letter confirming client volumes of three or fewer at the facility. This letter will waive the requirement to obtain a facility license.

The letter must be dated on company letterhead with an authorized signature and submitted as an attachment with the PEMS application.

For more information, call the TMHP Contact Center at 800-925-9126.