Hospitals - Private Psychiatric Hospitals and Crisis Stabilization Units

The Health and Human Services Commission is responsible for developing rules that establish minimum standards for licensing procedures, operational requirements, standards for voluntary agreements, enforcement procedures, fire prevention and safety requirements, and physical plant and construction requirements for private psychiatric hospitals and crisis stabilization units.

Private psychiatric hospitals provide inpatient mental health services to individuals with mental illness or with a substance use disorder except that, at all times, a majority of the individuals admitted are individuals with a mental illness. Services include psychiatric assessment and diagnostic services, physician services, professional nursing services, and monitoring for patient safety provided in a restricted environment.

Crisis stabilization units are mental health facilities operated by a community center or other entity designated by the Health and Human Services Commission. They provide treatment to individuals who are the subject of a protective custody order.

Find or Verify a Licensee

  • View the Directory of Private Psychiatric Hospitals here: PDF | Excel
  • View the Directory of Crisis Stabilization Units here: PDF
  • Verify a facility license by searching the Online Licensing System


Private psychiatric hospitals may be accredited.

Crisis stabilization units are not accredited.

Applying for a License

The application process involves:

  • Health Facility Licensing Group staff who review the application and required documents for deficiencies. Refer to the application form for fee amount, mailing address and instructions.
  • Health Facility Compliance Group staff who are responsible for conducting a pre- survey conference and surveying the facility for compliance with the provisions on Texas laws and regulations. Refer to the application form for timelines.
  • Architectural Review Group staff who are responsible for approving final construction documents, plans and specifications, as well as, conducting inspections. Click here for more information on the architectural review process.

Supporting Forms and Documents

View the Psychiatric Hospital and Crisis Stabilization Units forms and documents.


Application fee for initial and change of ownership:

  • $200 per bed with a $6000 minimum.
  • Application fees are not refundable.

Medicare Information

Private psychiatric hospitals may be certified to participate in the federal Medicare Program. The Secretary of the Department of Health and Human Services directs state health agencies or other appropriate agencies to determine if health care entities meet federal standards. This helping function is termed "provider certification." Health Facility Compliance Group staff is responsible for certifying hospitals. For more information on the certification process, refer to the hospital laws and rules webpage or contact your zone office (PDF).

Crisis stabilization units may NOT be certified to participate in the federal Medicare Program.

Laws and Rules

Click here for more information on Psychiatric Hospital and Crisis Stabilization Units laws and rules.

Enforcement Actions

Private Psychiatric Hospitals Enforcement Actions, June 2018 – June 2019 (PDF)

Open Records Requests

There is no specific form for submitting your open records request. Your request must be in writing and may be submitted by mail, fax or email. Include enough description and detail about the information requested so we can accurately identify and locate the information. List your name and mailing address so we can provide you with the requested information. We may also provide you with an itemized statement of charges, if applicable, or notify you if the information you are requesting cannot be provided promptly.

Program Contact Information

General Email, Fax, Phone and Mailing Information
Phone: 512-834-6648
Fax: 512-834-4514

Mailing Address
Health Facility Licensing
Mail Code 2835
P.O. BOX 149347
Austin, Texas 78714-9347

Mailing Address for Applications with Fees:
P.O. BOX 149055
Austin, Texas 78714-9055

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