Written by a parent, not a doctor. Nothing here is medical advice.

Childhood Cancer Lantern
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Set up the ask

Texas Health and Human Services Commission

Prescribed Pediatric Extended Care Center Services

What you get

Up to 12 hours a day of skilled nursing at a care center, medical and emotional care, development and therapy activities, plus transport when medically needed and safe. Ask whether requests are open.

Who starts it
Your care team
How it’s sent
Through your care team
Your time
One conversation with your care team
Last checked
Aug 27, 2026

Before you start, check you fit

  • Your child is 20 or under.
  • Need is reassessed 90 days after initial authorization and every 180 days afterward, or sooner when the condition or service need changes.
  • Your child needs skilled nursing care; a cancer diagnosis alone is not enough.

  1. One thing to do: ask your care teamThey send it. You give them what they need.

    Texas Health and Human Services Commission takes requests from your care team, not from families. Copy this message, or say it at the next visit.

    Hi [social worker’s name],

Could you send a request to Texas Health and Human Services Commission for us? They offer up to 12 hours a day of skilled nursing at a care center, medical and emotional care, development and therapy activities, plus transport when medically needed and safe, and it has to come from you. Their page is here: https://fhb.hhs.texas.gov/handbooks/star-kids-handbook/4400-prescribed-pediatric-extended-care-centers

Tell me what you need from me and I’ll bring it to our next visit. Thank you for everything you do for us.

[your name] · [phone]
    Copying is the only thing this page does with your text. Nothing is saved.
    Their program page ↗ Checked Aug 27, 2026

    What to bring to the meeting

    • Signed consent choosing PPECC services and authorizing necessary care coordination.

    What happens next

    • Ask the STAR Kids service coordinator to assess PPECC need and help locate an appropriate contracted provider.
    • The provider and clinical team complete the assessment, plan of care, prior-authorization form, and physician order; the site provides instructions only for clinical content.
    • The ordering physician and PPECC registered nurse sign their provider-authored order, plan-of-care, and assessment documents as required.
    • The PPECC or responsible clinical provider submits the complete current prior-authorization packet through the applicable TMHP or MCO route.

After your care team sends it

The family follows up with the service coordinator and chosen PPECC; clinical and plan staff handle authorization corrections.

Full record, as published