Relevant Contact Points in Texas

Provides contact points for the Nursing Facility program's policy questions, its Quality Monitoring Program and Culture Change initiative, and provider claims.

A statewide line for members of the public to file complaints about, or obtain inspection information on, an HHSC-licensed long-term care facility.

Advocates for the rights of assisted living and nursing facility residents.

Investigates criminal Medicaid-provider fraud, abuse and neglect of Medicaid beneficiaries in covered facilities and certain home- and community-based settings, and misappropriation of patients' or beneficiaries' funds or property. Created in 1979.

Handles adverse actions against a Nursing Facility Administrator license, and, through a consolidated Credentialing Call Center effective July 1, 2026, covers the NAR, Medication Aide, NATCEP, and NFA credentialing programs.

Handles consumer complaints, including billing or refund issues and unlawful debt collections, through its Consumer Protection Hotline and online complaint form.

The contact point for filing a Medicaid billing-fraud complaint.

Handles complaints against a regulated acute-care hospital or facility, including substandard care and improper billing. Also accepts complaints through the 24/7 online TULIP portal.

TDI's balance-billing and Independent Dispute Resolution contact and consumer help line, hosting the state's IDR portal for out-of-network billing disputes between providers and health plans.

TDI's general point of contact for insurance questions and for filing a complaint against a company, agent, or adjuster, including health-insurance and mental-health or substance-use-disorder coverage complaints. Includes a Consumer Complaint Portal login for tracking a filed complaint.

TDI's contact point for locating a certified Independent Review Organization or applying for IRO certification.

Provides free benefits counseling on Medicare, Medigap, Medicare Advantage, Part D, and long-term care insurance.

The independent Texas state agency, distinct from TDI, that represents the interests of Texas insurance consumers, including health-insurance policyholders, before the Commissioner and the legislature.

Helps Texans understand behavioral-health treatment rights and file complaints, and is named in Insurance Code section 1355.2572 as a partner in TDI's mental-health-parity training and complaint-portal outreach.