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The Texas End Stage Renal Disease Facility Licensing Act was first enacted in 1995 by the 74th Legislature. HHSC develops rules that establish minimum standards for ESRD licensing procedures; for granting, denying, suspending, and revoking a license; for licensing fees; for operation; and for requirements concerning design, construction.
Find or Verify a Licensee
- View the Directory of End Stage Renal Disease Facilities here: PDF / Excel
- Verify a facility license by searching the Online Licensing System
The staff of the Health Facility Licensing Unit is responsible for licensing ESRDs. The Architectural Review Unit is responsible for conducting plan reviews and construction inspections of new and existing ESRDs.
Contact information for the zone offices is available by finding your zone (PDF) and then locating the contact info for zone offices. The list also contains phone numbers, fax numbers and email addresses.
The following documents, fees, and actions shall be completed and approved before a license will be issued:
Complete Form 3205, End Stage Renal Disease Facility License Renewal Addendum
Change of Ownership Application
Supporting Forms and Documents
During the initial licensing period, department zone office staff will conduct an on-site survey to ascertain compliance with the provisions of the Health and Safety Code and associated rules listed below. An entrance conference will be held with key facility personnel. Zone office staff will explain the survey process and answer questions. During the survey, zone office staff will:
- Review clinical records
- Review facility policies and procedure
- Review quality assurance activities
- Review personnel records
- Interview staff
- Conduct an exit conference with key facility personnel
- Discuss survey findings
Medicare certification information may be obtained from the zone office for your location (PDF). The Social Security Act directs the Secretary of the Department of Health and Human Services to use the help of State health agencies or other appropriate agencies to determine if health care entities meet Federal standards. This task is one of the Department of State Health Services' responsibilities. For information on gaining provider certification, please contact zone office staff.
Laws and Rules
Rules & Regulations
The Health Facility Licensing Unit is dedicated to assist you through this process and is available to answer your questions. If you have any questions, please contact the Health Facility Licensing Unit.
Mailing Address for Applications with Fees:
HHSC AR Mail Code 1470
P.O. Box 149055
Austin, Texas 78714-9055
Texas Health and Human Services
Regulatory Services Division, Enforcement Unit
P.O. Box 149347
Austin, Texas 78714-9347