Provider Letter No. 17-38 - the Health and Human Service Commission (HHSC) added new rules and amended existing rules regarding the change of ownership (CHOW) process for ALFs.  According to the letter, under the amended rules, a CHOW occurs when the federal tax identification number of the license holder changes. When the number changes, the incoming license applicant must apply for an initial license and submit the required documents as required by §92.12(b), which states that an applicant … [Read more...] about Provider Letter regarding Rule Amendments in Texas Administrative Code (TAC) – Change of Ownership