HHS has more than 50 handbooks, which outline the rules employees and contracted providers are held accountable for when providing services to eligible Texans. We provide these for all Texans to view as part of our effort to be transparent in service delivery.

Assistive Services Providers

Contracting and Procurement

  • The HHS Contract Management Handbook (PDF) establishes consistent contract management policies and procedures that must be followed by HHS agencies.
  • The HHS Procurement Manual (PDF) serves as a purchasing guide for HHS agencies and establishes requirements for interface between the Procurement and Contracting Services Division of and HHS agencies for purchases conducted by PCS on behalf of the agencies.

Fair Hearings and Fraud

  • Fair and Fraud Hearings Handbook includes policies, procedures, and responsibilities for handling client and contract appeals, detecting and handling potential fraud cases, and protecting the civil rights of clients.
  • The Security and Accountability Handbook contains procedures for safeguarding program benefits from fraud, abuse, and misuse.

Guardianship Handbooks

Long-term Care Community-based Programs

Long-term Care Facility-based Programs

Long-term Care Waiver Programs

Medical and Social Services Handbooks

  • The Federal Assistance to Individuals and Households - Other Needs Assistance Handbook describes the policies, organization, and procedures for implementing the Other Needs Assistance provision of the Federal Assistance to Individuals and Households Program (IHP), the financial assistance program that responds to people whose needs result from natural or man-made disasters.
  • The Long-term Care Medicaid for the Elderly and People with Disabilities Handbook contains policy and procedures for the Medicaid programs for people who are elderly and people with disabilities.
  • The Refugee Cash Assistance Provider Manual includes rules, policies, and procedures to guide contractors in the effective administration and delivery of services funded under the Public/Private RCA program.
  • The Refugee Social Services Provider Manual guides Refugee Social Services (RSS) contractors in the effective administration and delivery of services funded under the RSS program.
  • The STAR+PLUS Handbook contains HHSC-approved policies and procedures related to the STAR+PLUS Program, including policies and procedures relating to the 1915(b) and 1915(c) STAR+PLUS Waivers. It includes additional requirements regarding the STAR+PLUS Program and guidance for the HMOs, the STAR+PLUS Support Unit at DADS, and HHSC staff administering and managing STAR+PLUS Program operations.
  • The Texas Medicaid and CHIP Uniform Managed Care Manual.
  • The Texas Works Handbook contains information about the policies and procedures used to determine eligibility for SNAP, Temporary Assistance for Needy Families (TANF), and Medical Programs for Families and Children.