Long-term Care Provider Web-based Training

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Web-based Training

Medicaid and Medicaid Waiver Programs

Abuse Neglect and Exploitation Competency Training and Exam

This training is designed to meet the basic ANE training requirements for staff providing direct care in a community setting. By the end of the training, staff should be able to identify which acts constitute ANE, how to recognize ANE, understand risk factors for ANE, and what methods can be used to address ANE. Additionally, this training includes an introduction to trauma and its impact on the people we serve.

Service providers must complete a test with a score of 80 percent or higher. A training certificate can be printed at the end of this training and kept in staff personnel files to meet training requirements.

To access and complete this free online training, please go to the HHS Learning Portal's ANE Competency Training course page, create a user login, and follow instructions.

Alternatives for Children Not in the Medically Dependent Children Program

Alternative Resources for Children When Not Enrolled in MDCP (Jan. 27, 2015)
This course will help participants identify alternative resources to share with families when individuals are not eligible to receive services through MDCP.

Deaf-Blind with Multiple Disabilities Waiver

DBMD Waiver (Nov. 28, 2016)
This course provides DBMD providers with information on developing and completing a successful service planning packet. This training includes information regarding:

  • Submitting enrollment, renewal, and revision individual plan of care packets
  • Completing IPC forms, transfers, intellectual disability/related condition assessment forms, and individual program plans
  • The most common mistakes made with each of these.

Service providers must complete a test with a score of 80 percent or higher and print a certificate of completion.

Community First Choice

Community First Choice in the HCS and TxHmL Programs (Jan. 29, 2016)
This training discusses the implementation of Community First Choice as it applies to individuals receiving services through the HCS and TxHmL waiver programs. Topics in this training include:

  • CFC services
  • Provider qualifications
  • Eligible living environments
  • Individual plan of care renewal
  • Other important CFC service coordination topics such as transportation, financial management services and monitoring.

This training is mandatory for all HCS and TxHmL service coordinators and includes a quiz with a minimum required score.

Behavioral Support Services

HCS and TxHmL Behavioral Support Services Provider Policy Training (March 3, 2015)

This course informs service providers of behavioral support services in the HCS and TxHmL programs related to the provision of behavioral support services in those programs.

Behavioral support service providers currently providing services to individuals must complete this WBT prior to June 1, 2015. All new behavior support service providers must complete the WBT before providing services to an individual. All providers must complete the course every three years.

To document successful course completion, participants must print a copy of the certificate provided at the end of the training and submit a copy to a program provider with whom they are employed or contracted.

Primary Home Care

Primary Home Care Rules (Feb. 2, 2011)
This course is intended for providers who have contracted with to provide attendant care services for the PHC, Community Attendant Services or Family Care programs.

Most Frequently Cited Deficiencies

Preadmission Screening and Resident Review


PASRR 101 (Aug. 1, 2017)
This course is geared toward nursing facility employees and is designed to deliver information about the role nursing facility employees play in the PASRR process. This course will focus on

  • The purpose of PASRR
  • State and federal regulations which govern the PASRR process
  • Types of admissions,
  • Screening and specialized services
  • This course provides an overview of each aspect of the PASRR process.


PASRR PE: What Nursing Facilities Need to Know (Aug. 1, 2017)
This course explains the PASRR Evaluation and how the PE impacts the nursing facility  and the individuals served in the NF. PL1: Back to Basics should be completed as a prerequisite for this training.


PASRR Rules: TAC Title 40, Part 1, Chapter 19, Subchapter BB (Aug. 1, 2017)
This course discusses nursing facility responsibilities related to PASRR found in the Texas Administrative Code (TAC) Title 40, Part 1, Chapter 19, Subchapter BB.

PL1 Screening Form

PASRR PL1: Back to Basics (Aug. 1, 2017)
This course reviews the PL1 form in a section-by-section manner. Participants will be asked to take notes on a blank PL1 form as they complete the training. At the conclusion of the training, participants will understand how to complete the PL1 screening form, and will be familiar with the following PL1 topics:

  • Admissions
  • Transfers
  • Discharges
  • Changes of Ownership

Specialized Services

PASRR Specialized Services Training (Aug. 1, 2017)

This course explains the nursing facility's role in the PASRR specialized services process. The training discusses how the interdisciplinary team:

  • Determines specialized services for individuals,
  • How the facility can bill for those services
  • The difference between habilitative and rehabilitative services

Other Courses

Annual Mandatory Training for Assisted Living Facilities

Annual Mandatory Training for Assisted Living Facilities (July 13, 2018)
The Texas Health and Safety Code requires Managers in Assisted Living Facilities (ALFs) and State employees who inspect ALFs to take this training annually.

Complaint and Incident Intake

Complaint and Incident Intake (June 22, 2018)
This course provides an overview for how to efficiently submit a complete incident report to Complaint and Incident Intake.

DAHS Licensure Rules and Preparing for an Inspection

DAHS Licensure Rules and Preparing for an Inspection (April 9, 2020)
This presentation was designed for both Day Activity and Health Services providers and HHSC staff. The training guides you through the rules in conjunction with self-assessment questions which will assist you in preparing for an inspection.

Emergency Preparedness Guidance for NFs

Emergency Preparedness Guidance for NFs  (PDF) (March 16, 2020)
This presentation discusses emergency preparedness rules for nursing facilities.

Focused Infection Control Surveys in NFs

Focused Infection Control Surveys in NFs (PDF) (March 16, 2020)
Nursing facility (infection control rules are usually focused on hand hygiene PPE usage use and disinfection of the environment. The facility should plan for an outbreak that can strike any facility— whether it is COVID-19, the flu, or any other infectious disease. In this presentation, we will look at the existing regulations, and give examples relevant to the COVID-19 outbreak.

Infection Control Home Health and Hospice

Infection Control Home Health and Hospice (PDF) (March 16, 2020) 

The novel coronavirus, known as COVID-19, originated in Wuhan City, China, and is causing an outbreak of respiratory disease in countries around the world.  Texas and CMS are committed to protecting our vulnerable patients by focusing your efforts as surveyors on infection control. Infection control is a serious concern for HHSC and the citizens of Texas. Clients and patients who use home health and hospice services are vulnerable to COVID-19 and other diseases.

Plan of Removal

Plan of Removal (July 11, 2018)
This course provides a reference guide for a plan of removal and shows how such a plan differs from a plan of correction.

Writing Acceptable Plans of Correction

This course is intended to facilitate an understanding of what constitutes an acceptable plan of correction based on identified deficient practices and what makes a plan of correction acceptable to the Texas Health and Human Services Commission.

Assisted Living Facilities

Writing Acceptable Plans of Correction for ALFs (June 7, 2018)

Day Activity and Health Services

Writing Acceptable Plans of Correction for DAHS (Oct. 30, 2017)

Home and Community Support Services Agencies

Writing Acceptable Plans of Correction for HCSSAs (Jan. 11, 2018)

Intermediate Care Facilities

Writing Acceptable Plans of Correction for ICFs/IDD (Jan. 30, 2018)

Nursing Facilities

Writing Acceptable Plans of Correction for Nursing Facilities (Nov. 2019)