State requirements
Texas in-service training requirements for home care agencies
Texas licenses non-medical home care agencies as HCSSAs and sets attendant training by topic, not by hour count. The 12-hours-a-year figure many vendors quote applies to administrators, not attendants.
For each program type below: the license and survey status, the training requirement, and the citation — from the rule text and official program manuals, not vendor marketing.
Private pay
Recommended target6 hours a year — recommended defensibility target, not a state hour mandate
Licensed and surveyed. Texas licenses purely private-pay non-medical agencies — anyone providing personal assistance services for pay needs a HCSSA license in the PAS category, with an initial on-site survey and recurring licensure surveys from HHSC.
Texas sets training topics for PAS attendants, not an hour count (26 TAC §558.245) — the often-quoted “12 hours a year” (§558.260) applies to administrators, not attendants. Workplace violence prevention training is required at least annually where the agency employs two or more registered nurses (SB 463, 2025). This recommended 6-hour target documents a defensible annual program.
26 TAC §558.245 (topics); §558.260 is administrators-only
Medicaid in-home services
Recommended target6 hours a year — recommended defensibility target, not a state hour mandate
Licensed and surveyed. Medicaid attendant programs (Primary Home Care, Community Attendant Services, Family Care, STAR+PLUS) run through PAS-licensed HCSSAs under HHSC contract, subject to licensure surveys plus contract monitoring.
Texas sets training topics for attendants with no annual hour count (26 TAC §558.245), and Medicaid primary home care adds per-client orientation before first services. This recommended 6-hour target documents a defensible annual program.
26 TAC §558.245; 40 TAC §47.25 (per-client orientation)
State-licensed agency
Recommended target6 hours a year — recommended defensibility target, not a state hour mandate
Licensed and surveyed. The HCSSA license, Personal Assistance Services category, under Texas Health and Safety Code chapter 142 and 26 TAC chapter 558.
Licensed HCSSA (PAS) agencies: Texas sets attendant training by topic, not hours (26 TAC §558.245); the 12-hour rule at §558.260 covers administrators only. This recommended 6-hour target documents a defensible annual program.
26 TAC §558.245 (attendants); §558.260 (administrators only)
Other arrangements in Texas
Licensed Home Health Services (LHHS) category
Aides used by an LHHS-category agency must qualify as home health aides — a 75-hour training-and-competency program or one of several alternative routes. PAS attendants have no 75-hour or certification requirement; theirs is competency-based only.
26 TAC §558.701
Medicare-certified home health
Licensed and certified agencies must also meet the federal Conditions of Participation, including the federal 12-hour annual in-service for home health aides.
42 CFR 484.80(d)
Consumer Directed Services (CDS) option
The client is the employer of record: the individual employer hires and trains the attendant, who works under the employer rather than under an agency's training program.
The summaries above are drawn from the rule text and official program manuals cited with them. Your agency remains the training provider of record. AideReady is not a substitute for legal or regulatory advice.
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