Palliative care in Texas

If you are looking for palliative care in Texas, or palliative care near you, it helps to know what the state publishes — and what it does not.

There is no official palliative care roster

The Texas Health and Human Services Commission publishes a directory of Home and Community Support Services Agencies. That file lists home health, hospice, and personal assistance licenses. We inspected every column, including Services Provided. Nothing in the file is a palliative care flag. Some agencies use the word “palliative” in their business name. A name is not a state-verified service.

As of November 9, 2026, this site lists 5,444 hospice and home health agenciesfrom that directory, across 182 counties. We included rows with a hospice or home health service flag and left personal-assistance-only rows out. We label each listing as a Texas-licensed hospice provider, a Texas-licensed home health agency, or both. We do not say that a listed agency offers palliative care unless a public source actually says so — and in this first version, the state file does not.

Three common places programs live

Hospital-based programs

Many larger hospitals have a palliative care team that can see people as inpatients, and sometimes in a clinic after discharge. The HHSC HCSSA file does not list hospital departments. If you or a family member is already in the hospital, ask the attending doctor or a case manager whether a palliative care consult is available. That is often the most direct path.

Home-based programs

In-home palliative care, or palliative care at home, may be offered by a medical group, a health system, or a licensed home health or hospice agency. Teams visit the house, help with symptoms, and coordinate with the person’s doctor. Because the license file does not mark these programs, you have to call and ask what is actually offered, who is on the team, and which ZIPs they serve. The county on a license is only the address of record, not a service area.

Hospice-based programs

Some hospice agencies also run a palliative program for people who are not enrolled in hospice. That program is usually separate from the Medicare hospice benefit and has its own intake and billing. Other hospices do not offer a separate palliative service. The only reliable way to tell is to ask, even if the word “palliative” appears in the agency name.

A practical way to look

1. Talk with the person’s doctor about whether palliative care would help, and whether the practice can make a referral.
2. If someone is in the hospital, ask about a hospital palliative care team.
3. Use this directory to find Texas-licensed hospice and home health agencies near the address of record, then call witha short list of questions.
4. Confirm current license status on TULIP before you rely on a listing.
5. Ask the program and your insurer how the care would be paid.

You can start with a metro area such asDallas–Fort Worth,Houston,Austin, orSan Antonio, or browse every county in the file.