

Navigating Texas HHSC Financial Requirements
Healthcare and human-services providers working with Texas HHSC may face detailed financial reporting, cost-reporting, audit, and record-retention requirements. The applicable requirements can vary based on the provider type, program, contract, funding source, and reporting period.
Organizations may need to prepare cost reports, reconcile reported costs to their accounting records, support related-party and allocated expenses, maintain documentation for allowable costs, or obtain an independent CPA audit or agreed-upon procedures engagement.
JConner helps providers evaluate applicable requirements, organize audit-ready records, reconcile cost-report data, strengthen supporting documentation, and prepare for CPA or agency review.
Our goal is to help your organization submit accurate, supportable financial information while reducing compliance risk and avoidable delays.

Specialized financial expertise for Texas HHSC providers
From cost reporting and financial advisory to audit readiness and independent assurance, JConner helps Texas HHSC providers address complex financial and reporting requirements. Our services combine provider accounting, cost-allocation experience, and practical support tailored to each organization’s programs, contracts, and reporting obligations.
Services for Texas HHSC Providers and Contractors
01
Cost Reporting
Preparation and submission support for Texas HHSC cost reports, including general-ledger reconciliation, expense classification, cost allocation, related-party documentation, supporting schedules, and STEPS reporting.
04
Financial Statement Audits
Independent financial statement audits for Texas HHSC providers and contractors subject to program, contract, lender, governing-body, or other reporting requirements.
02
Accounting & Financial Advisory
Outsourced accounting and CFO advisory for HHSC providers, including financial reporting, budgeting, cash-flow forecasting, reimbursement analysis, service-line reporting, and process improvement.
05
Reviews & Compilations
Reviewed and compiled financial statements for HHSC providers reporting to boards, owners, lenders, regulators, contracting parties, or management when an audit is not required.
03
Audit Readiness
Accounting cleanup, reconciliations, trial-balance mapping, supporting schedules, documentation assessments, and internal-control preparation for HHSC reviews, financial statement audits, and external examinations.
06
Agreed-Upon Procedures
Independent agreed-upon procedures addressing specified HHSC cost-reporting, reimbursement, financial, or contractual requirements, with findings reported based on procedures established by the engaging parties.
Organizations We Serve

Nursing facilities and other long-term care providers navigating HHSC cost reporting, financial reporting, and compliance requirements.
Long-Term Care Providers

Mental health, substance-use, and behavioral health organizations seeking reliable accounting, reporting, and audit support.
Behavioral Health Providers

Managed care organizations and other entities supporting Texas Medicaid and CHIP programs with financial and compliance-reporting obligations.
Medicaid & CHIP Organizations

Providers delivering home care, community-based, waiver, and related support services through Texas Medicaid programs.
Home & Community-Based Providers

Hospitals, clinics, ambulance providers, and other healthcare organizations subject to program, contract, or reimbursement requirements.
Hospitals & Healthcare Providers

Nonprofits, residential programs, community organizations, and other contractors providing HHSC-funded health and human services.
Human Services Contractors
Texas HHSC Financial & Compliance FAQs
Requirements vary by provider, program, contract, and reporting period. Visit the Texas HHSC Provider Finance Department for current program instructions and official reporting notices.
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