Results you can check. Rules we never bend.

• Legal nameGracious Care Health Services, Inc., an OceanCare Health company
• State licenseChange of ownership in process with Texas Health and Human Services. The new license number will be listed here once the state issues it.
• MedicareMedicare certification status will be listed here once confirmed
• AccreditationAccreditation status will be listed here once confirmed

Anyone can verify a Texas home health agency's license, ownership and service categories using the state's Long-Term Care Provider Search. Texas law does not allow an agency to provide or advertise home health services without a license (Texas HHS HCSSA program).

Home health in Texas is governed by two layers of regulation, and we treat both as the minimum standard:

• Texas Home and Community Support Services Agency rules, 26 Texas Administrative Code Chapter 558, covering licensing, client rights, staffing, supervision, records and complaint handling (Texas HHS statutes and rules).
• Federal Conditions of Participation for home health agencies, 42 CFR Part 484, covering patient rights, comprehensive assessments, care planning, quality improvement, infection control and aide training and supervision (eCFR).
• HIPAA Privacy and Security Rules and the Texas Medical Records Privacy Act, Texas Health and Safety Code Chapter 181, which protect patient health information.
• Section 1557 of the Affordable Care Act and Section 504 of the Rehabilitation Act, which prohibit discrimination and require language and disability access.

• Start of care on the clock. Initial assessment within 48 hours of referral or return home, or on the physician-ordered date, and a comprehensive assessment within five days.
• Licensed, verified clinicians. Licenses checked before hire and on a schedule. Unlicensed staff are screened against the Texas Employee Misconduct Registry and Nurse Aide Registry before hire.
• Supervised aides. On-site supervisory visits by a nurse or therapist at least every 14 days for patients receiving skilled care.
• Documented plans of care. Signed by the physician or allowed practitioner, with measurable goals and timely updates.
• Rights explained at admission. Every patient receives written rights, our privacy notice and the state complaint hotline.
• Privacy-safe website. Our forms collect contact details only, and our analytics never receive health information.

We manage our agency to the measures CMS publishes on Care Compare, defined in the Home Health Quality Reporting Program. Results for Medicare-certified agencies are published by CMS on Care Compare, and we point referral partners to that source rather than quoting selectively.

When care is paid for by a public program, additional rules apply. Our intake team confirms the payer and the authorization path before the first visit. Ask us which Medicaid and managed care plans we currently accept.

• Texas Medicaid prior authorization. Skilled nursing and home health aide visits are authorized through TMHP or the patient's managed care plan, requested within three business days of the start of care and approved for up to 60 days at a time (TMHP provider manual).
• Electronic Visit Verification. Required for Medicaid home health visits in Texas since January 1, 2024. Clinicians clock in and out at each visit (Texas HHS EVV).
• Exclusion screening. Every employee and contractor is checked against the Texas Exclusions List and the federal HHS-OIG LEIE before hire and monthly.
• Medicare beneficiary notices. Patients receive the CMS notices that apply to them: the ABN before a service Medicare may not pay for, the Home Health Change of Care Notice before services are reduced or stopped, and the Notice of Medicare Non-Coverage with fast appeal rights before covered care ends (CMS Beneficiary Notices Initiative).
• Accurate billing. We bill only for visits that were ordered, authorized, delivered and documented.

Read the full guide: Medicare and Texas Medicaid home health rules.

If you have a concern about our care, please tell us first so we can make it right. You can also contact the State of Texas at any time:

• Texas HHSC Complaint and Incident Intake: 1-800-458-9858, Monday to Friday, 7 a.m. to 7 p.m. Central, or online through Texas HHS.
• Mail: Texas Health and Human Services, Complaint and Incident Intake, Mail Code E249, P.O. Box 149030, Austin, TX 78714-9030.
• Privacy complaints: U.S. Department of Health and Human Services, Office for Civil Rights, hhs.gov/ocr/complaints.
• Medicaid fraud, waste or abuse: Texas HHS Office of Inspector General Fraud Hotline, 800-436-6184, or online through the Texas OIG. You may stay anonymous.

We will never retaliate against anyone for filing a complaint.