Membership App: Provider Full Payment

2025 -New Provider Membership Application

Welcome to TAHC&H! We're excited you're considering membership! Joining connects you to a strong community of home care and hospice professionals, exclusive resources, advocacy, and expert regulatory support. This application is your first step toward unlocking valuable benefits. We look forward to welcoming you to the TAHC&H family and supporting you every step of the way! If you have any questions throughout the process, don’t hesitate to reach out to membership@tahch.org or call 1-800-880-8893, we're here to help. Let’s get started!
A "Provider Member" is defined as an organization that provides home & community support services through one or more licensed HCSSA’s in Texas. The term "related providers" is defined as one provider being associated OR affiliated with another provider by common ownership, OR having control of, OR being controlled by the other provider in terms of its policies and actions.

Conditions of Membership Participation:
1. Membership benefits begin with receipt of payment and continue for one year. Only employees of the member entity may utilize member benefits.
2. Provider Membership in TAHC&H is open to licensed home & community support services agencies only.
3. Adherence to TAHC&H Code of Ethics.
4. Dues are based on the number of licensed parents verified through the Texas Health & Human Services.
5. Membership dues, administration fees (if applicable) and voluntary contributions are non-refundable.
6. Article III. Membership. Transferability of Membership. Neither the membership in the Association nor any rights in the membership or membership-derived information or other benefits may be transferred for value or otherwise. A member may not join or participate in the Association in order to distribute or redistribute membership-derived information or other benefits to non-members.
7. TAHC&H member dues are an allowable expense for Medicare and Medicaid. Ask a TAHC&H representative the percentage for the current year.
8. Contributions or gifts to TAHC&H are not tax deductible as charitable contributions for income tax purposes. However, they may be tax deductible as ordinary and necessary business expenses subject to restrictions imposed as a result of association lobbying activities. TIN# 74-1887889
Acknowledgement*

I have read and acknowledge the information above regarding my membership.
Signature*

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ORGANIZATION DETAILS
Provider Organization Name*
Location:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing Address (if different)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Fax
Toll-Free
Primary Contact Email*
example@example.com
Website
www.example.com
What Categories of Licenses Do You Hold:*

Licensed and Certified Home HealthLicensed Home HealthPersonal Assistant ServicesHospice
ORGANIZATION CONTACTS
CEO/Authorized Representative*

First NameLast Name
Voting Representative at Association Business Meetings*

First NameLast Name
Primary Contact/Communications to:*

First NameLast Name
Primary Contact Cell Phone
Primary Contact Direct Phone:*
Primary Contact Email:*
example@example.com
I was recommended to join by:*
How did you learn about TAHCH*
MEMBERSHIP DUES

A Provider Organization’s number of licensed parent(s) related through common ownership and control determines the annual dues. The number of licenses is verified by TAHC&H through Texas Health & Human Services Licensing & Regulatory records.

Don't forget! 75% of your dues are TAX deductible for 2025 with the remaining 25% of the dues going towards lobbying efforts which are non-deductible.

Payment Options: Please select one. *

1 License

$1,856.00

2 Licenses

$2,476.00

3-4 Licenses

$4,333.00

5-7 Licenses

$5,572.00

8-10 Licenses

$6,809.00

11-14 Licenses

$8,047.00

15-20 Licenses

$9,285.00

21-30 Licenses

$11,761.00

31-40 Licenses

$14,237.00

41-50 Licenses

$18,341.00

51+ Licenses

$20,428.00

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2025 -New Provider Membership Application