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Texas Caregiver Contract
Consulting (HHSC)


What is the Texas Caregiver Contract?

The Health and Human Services Commission (HHSC) is searching for Contractors (Agencies) who will provide qualified Caregiver Services statewide to support to children and youth who are under the custody of the State. Contractors will aid State employees in the caring and appropriate monitoring of children and youth.


How the Texas Caregiver Contract works?

This Contract opened: February 1, 2022 and closes: January 31, 2022. However your Anticipated Contract Start Date is upon Execution of your contract. The State will use auxiliary caregiver services on an emergency basis when a child or youth is awaiting a licensed, a placement and a State employee must supervise the child or youth in a temporary alternative location. These specific services are intended to support in the caring for, appropriately monitoring, and ensuring the safety of children and youth receiving supervision with oversight from state employees.

Caregivers must be a must be 21 or older and available 24 hours, seven (7) days a week including holidays as necessary.  Contracted Caregivers must work flexible service hours, including morning, afternoon, evening, and overnight shifts of at least six (6) hours.

Contracted Caregivers will provide these services in locations where the State has elected to temporarily house these children such as an office, hotel, State leased residence, or other alternative location. A State staff member will always be present during the assignment. The Caregiver may be assigned to supervise one or more children or youth.

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What are the Characteristics of the Client?

The client will be children varying in age, but the primary population will include children that can range from 10 to 17 years of age. Client characteristics may include a child or youth with medical, mental, emotional, behavioral or educational needs, which requires close supervision at all times. Client characteristics include, but are not limited to:

  • Active exhibition of psychotic behavior

  • Attention Deficit Disorder/Attention Deficit Hyperactivity Disorder (ADD/ADHD)

  • Autism

  • Anxiety Disorder

  • Assaultive behaviors or homicidal

  • At-Risk Youth (Trafficking)

  • Behavioral problems

  • Chronic Health Conditions

  • Criminal Background

  • Danger to Self or others

  • Depression

  • Developmental Disorders

  • Diabetes

  • Diagnostic and Statistical Manual of Mental Disorders, 4th Edition Axis I & II Diagnosis

  • Eating Disorder

  • Emotional Disorders

  • Enuresis/Encopresis

  • Fire Setting

  • Gender Identity Issues/ Sexual Orientation

  • High Risk Youth (Trafficking)

  • Impulse Control Disorder

  • Low to Moderate Risk of harming self or others

  • Maladaptive Behaviors

  • Medically Fragile

  • Intellectual Developmental Disability

  • Oppositional Defiant

  • Pervasive Developmental Disorder

  • Pregnant

  • Primary Medical Needs

  • Post-Traumatic Stress Disorder (PTSD/Complex PTSD)

  • Runaway Behavior

  • Self-Abuse

  • Sexual Aggression or Behavior Problems

  • Substance Abuse/Use

  • Substance Abuse or dependence with the need for medical detoxification

  • History of Attempted Suicide

  • Suicidal Gestures

  • Suicidal Ideation

  • Other Special Needs, (e.g. dietary, language, etc.)

  • Additionally, children may:

  • Be victims of commercial sexual exploitation.

  • Have experienced physical, sexual and/or emotional abuse, neglect and/or other severe trauma.

  • Have a history of multiple placement disruptions.

  • Have limited English-language proficiency.

  • Have been or currently are involved in the criminal justice system and are currently on probation and/or parole.

  • Have been or are currently involved in gang activity/ affiliation.

What is the Staff Caregiver Requirements?

Services under this enrollment can be performed by an organization who sends caregivers to relevant locations or a single individual supplemental caregiver.  All caregivers must meet or exceed the minimum qualifications as required by the State, including the following;

Two (2) years of full-time relevant caregiving experience. For the purposes of this Contract, the State defines relevant experience as managing, overseeing, or leading the performance and work of others in a caregiver social service setting; performing under contract with a government agency providing caregiver social services; or Public or private experience providing or contracting for services similar to those being purchased. Current or prior service experience as a caregiver in a General Residential Operation, a Residential Treatment Center, or a Psychiatric Hospital is the most direct correlation to the contracted supplemental caregiver services under this Enrollment.

  • Background Check requirements for all staff and professionals as required by the State.

  • The Contractor will provide the State documentation of insurance coverage as required;

Commercial General Liability:

Minimum combined bodily injury (including death) and property damage limits of $300,000 per occurrence, and $600,000 aggregate

Commercial Crime Policy with a 3rd Party and Employee Dishonesty or “Client Property” endorsement. *Business entities with no employees are not required to obtain Commercial Crime insurance. Minimum required coverage is $25,000.

How can a Healthcare Agency become a Provider?

Healthcare providers must have a contract with the Federal Government to become a provider of care for workers compensation. Texas Regulatory Licensing and Compliance administrates this process so that the provider can be approved. The Provider must have a current state license and in good standing. See the time frames and cost below.

Contracts are Available to These Types of Providers
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