Harvest Offer Membership App: Provider Full Payment

By completing this membership application, you are taking the first step towards enhancing your professional network and gaining invaluable resources tailored to the needs of home care and hospice providers. As a special welcome, you'll receive up to 2 FREE months of membership with the Texas Association for Home Care and Hospice. This exclusive offer is designed to introduce you to the myriad benefits, including legislative updates, educational opportunities, and a vibrant community dedicated to advancing quality care across Texas. Your membership will be active through December 31st, 2025.

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:

Membership benefits begin with receipt of payment and continue for one year. Only employees of the member entity may utilize member benefits.
Provider Membership in TAHC&H is open to licensed home & community support services agencies only.
Adherence to TAHC&H Code of Ethics.
Dues are based on the number of licensed parents verified through the Texas Health & Human Services.
Membership dues, administration fees (if applicable) and voluntary contributions are non-refundable.
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.
TAHC&H member dues are an allowable expense for Medicare and Medicaid. Ask a TAHC&H representative the percentage for the current year.
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*

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

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 for membership by:*

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.

If you wish to pay your dues in quarterly payments, please contact us at (800) 880-8893.

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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Provider Member Application