Medicare is Frozen. Texas Medicaid is not. Ways to Save your Agency
- Anna Harrison

- May 19
- 3 min read

“The Home Health & Hospice Bailout Package” is Available.
The recent federal freeze on new Medicare enrollments for home health and hospice providers sent shockwaves through the healthcare industry. For many Texas entrepreneurs, the dream suddenly came to a halt overnight.
Imagine spending months — sometimes years — building your agency from the ground up:
Forming your LLC
Obtaining your EIN
Securing your NPI
Acquiring your Texas state license
Paying consultants
Purchasing policies and procedures
Preparing for Medicare certification
Only to find out the federal government closed the door before you could even walk through it.
So what happens now?
Is there any hope for licensed home health and hospice providers stuck in the Medicare pipeline?
Yes — and the Opportunity is Bigger Than Most Realize
This isn’t the first time the industry has seen a Medicare enrollment shutdown. Back in 2014, many providers faced the same obstacle. But instead of shutting down, smart agencies pivoted into an underserved and highly needed market:
Pediatric Home Health and Pediatric Hospice
Today, history is repeating itself — and Texas providers who move quickly can still save their business, build revenue, and establish a thriving agency.
The Hidden Medicaid Opportunity
Most providers assume the next step after obtaining a state license is Medicare enrollment. Traditionally, that’s true.
But during a federal moratorium, Texas licensed agencies have another option.
A licensed home health or hospice provider can decline Medicare enrollment and instead pursue Texas Medicaid credentialing first.
That one decision changes everything.
By enrolling as a Texas Medicaid provider, agencies can legally operate in the pediatric healthcare space and begin servicing patients ages 22 and younger.
That means:
Your investment doesn’t go to waste
Your business doesn’t sit dormant for 6 months or longer
Your license still has value
You can begin building cash flow and market presence now
Instead of waiting on the federal government to “move the cheese,” you simply move with the market.
Why Pediatric Home Health Makes Sense Right Now

Texas has a growing need for pediatric healthcare providers, especially in-home care services.
Families are actively searching for qualified agencies that can provide:
Pediatric skilled nursing
Pediatric therapy services
Pediatric hospice support
Specialized in-home medical care
For providers already holding a Texas home health or hospice license, transitioning into the pediatric space is one of the fastest ways to turn a bad situation into a profitable opportunity.
What’s Required to Transition?
The good news is the transition process is much simpler than most providers think.
There are only three major steps needed to reposition your agency into the pediatric Medicaid market:
1. File the Correct Texas Medicaid Enrollment
This is critical.
Your Medicaid application must be properly structured for pediatric home health or pediatric hospice enrollment — not traditional geriatric services.
Working with an experienced enrollment agency can prevent delays, denials, and costly mistakes.
2. Obtain Pediatric-Compliant Policies & Procedures
Pediatric agencies require different operational documents, admission forms, classifications, and compliance standards than traditional adult home health or hospice providers.
Updated policies and procedures must reflect pediatric-specific operations and Medicaid requirements.
3. Prepare for Pediatric Service Operations
Your agency must align with pediatric care standards, staffing expectations, and service delivery models specific to Texas Medicaid.
Once completed, your agency can begin operating in an entirely different — and growing — healthcare niche.
Don’t Let Your License Die Waiting on Medicare
The biggest mistake providers can make right now is waiting.
Every month your agency sits idle is money lost, momentum lost, and opportunity lost.
The providers who survive these industry shifts are the ones who adapt quickly.
And right now, Medicaid is the lane that’s open.
Get Enrolled Before It’s Too Late
To help providers navigate this transition, the Department of Help has highlighted one of the pioneers in the Texas licensing and enrollment industry:
Texas Licensing Certification and Compliance
Website: www.txrlc.com
Texas Licensing Certification and Compliance specializes in helping Texas home health and hospice agencies transition into pediatric Medicaid enrollment.
In response to the Medicare freeze, they are currently offering a special promotional program called: “The Hospice and Home Health Bailout Package”
This program was specifically designed for licensed providers who got stuck in the Medicare enrollment process and need a fast alternative path forward.
If you’re serious about saving your agency, protecting your investment, and entering a growing healthcare market, now is the time to act.
Click the “Get Enrolled” link above and connect with a professional today.
Additional resources are available below to help you get started before the Medicaid opportunity becomes overcrowded.
Original News Article on Medicare Freeze:




Great advice