Methodology
This site is a Texas directory built from a public license file. We do not write reviews, invent scores, or guess which agencies offer palliative care.
The source of the list
The spine of the directory is the Texas Health and Human Services Commission Home and Community Support Services Agencies workbook (HHA.xlsx). The copy used for this build is titled as an active license file as of November 9, 2026. We store a dated snapshot and a SHA-256 hash so the same file can be checked later.
We do not scrape TULIP. Every provider page links out to theTULIP provider searchso you can verify the live record. We also do not copy text or design from Medicare.gov or from other directories.
What we looked for, and did not find
Before building pages, we searched every column in the workbook for the word “palliative.” It does not appear in Services Provided, or in any other license field. It appears only in some agency names and legal-entity names (396 cell hits, none in Services Provided). We do not treat those names as evidence of a palliative program.
Who is listed
A row is included if Services Provided contains a hospice flag, a home health flag, or both. Personal-assistance-only rows are left out. One placeholder row with an invalid name was also left out. That leaves5,444 listings in this build:1,730 with a hospice flag and3,929 with a home health flag (some rows have both).
Each listing is labeled as a Texas-licensed hospice provider, a Texas-licensed home health agency, or both — the language the license supports. Parent agencies, branch agencies, and alternate delivery sites are kept as separate pages when they appear as separate rows.
Medicare numbers and CMS public files
When the state file includes a Medicare number we can parse as a hospice or home health CCN, we show that number, mark the listing as having a Medicare number on file, and link to Medicare.gov Care Compare. Listings without a parsable number are shown in a separate “licensed only” group. We never fold those two groups into one count.
CMS hospice and home health public files are joined by the same padded CCN. For Medicare-certified hospices we show the CMS-published quality measures, CAHPS family survey results (including the summary star rating when CMS published one), and the ZIP codes CMS lists that hospice as serving. For Medicare-certified home health agencies we show the CMS quality of patient care star rating when it is present, along with any CMS footnote. Every CMS block carries a source chip and the official release date. If a Medicare number is in the Texas file but not in the matching CMS file, we say so.
We display the figures CMS published. We do not invent a score, rescale a star, or build a composite rank. ZIP service areas come only from the CMS hospice file; the county or city on the Texas license is still only an address of record. A CMS hospice quality measure whose official name includes “palliative care” is not treated as evidence that the agency offers a palliative care program.
License status and other flags
Status text is taken from the file and shown in plain language. “Enforcement action pending” is displayed as a status, with a short explanation, not as a verdict. Expired and renewal-in-process rows that still appear in the workbook are kept, and labeled as such. Client census, when present, is a point-in-time figure from the directory, not a live count.
The county and city on a page are the address of record. We say so on every hub and provider page. We do not treat them as a service area. Metro pages (Dallas–Fort Worth, Houston, Austin, San Antonio) group official metropolitan statistical area counties, and only those counties that appear in the current file.
Sorting, search, and what we will not do
Lists are sorted by agency name, and grouped by whether a Medicare number is present. There is no composite rank, no “best of” order, and no user reviews in this version. Search matches name, city, county, and the license-address ZIP from a prebuilt index loaded only when you search. A five-digit ZIP also matches hospices that CMS lists as serving that ZIP, shown in a separate group with a note that this is not the county of record.
Data can lag. Agencies can appeal findings. A later official file can change a status or a service flag. If something on a page disagrees with TULIP or with Medicare.gov, trust the official record.