Comprehensive Out-Patient Rehabilitation Facilities

Thank you for visiting the Comprehensive Out-Patient Rehabilitation Facilities program webpage. The Department of State Health Services maintains this webpage, but pursuant to Senate Bill 200, regulatory authority over Comprehensive Out-Patient Rehabilitation Facilities has transferred to the Health and Human Services Commission. (HHSC) as of September 1, 2017.

A Comprehensive Out-Patient Rehabilitation Facility is a nonresidential facility that is established and operated exclusively for the purpose of providing diagnostic, therapeutic, and restorative services to outpatients for the rehabilitation of injured, disabled, or sick persons, at a single fixed location, by or under the supervision of a physician. Comprehensive Out-Patient Rehabilitation Facilities are not state licensed nor are they accredited. They may be certified to participate in the federal Medicare Program.

Provider Certification

The Secretary of the Department of Health and Human Services (DHHS) 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 Comprehensive Out-Patient Rehabilitation Facilities.

For more information on the certification process, refer to the Centers for Medicare & Medicaid Services (CMS) Information page, or contact your zone office. See the City-Region-Zone List to find your appropriate zone office.

Medicare Resources

Survey Components

During the initial licensing period, department zone office staff will conduct an on-site survey to ascertain compliance with the provision on the Health and Safety Code and associated rules. Entrance conference with key facility personnel and department zone office staff. During the survey, zone office staff will explain the survey process and answer questions.

  • Review clinical records
  • Review facility policies and procedures
  • Review quality assurance activities
  • Review personnel records
  • Interview staff
  • Conduct site visits as applicable
  • Exit conference with key facility personnel. Discuss survey findings.

External links to other sites are intended to be informational and do not have the endorsement of the Texas Department of State Health Services. These sites may not be accessible to people with disabilities.

Last updated November 9, 2017