Appendix XII, Abuse, Neglect and Exploitation Training and Competency Test

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Revision 26-3; Effective April 10, 2026

1. Requirement to Train Staff Members, Service Providers and Volunteers

As required by program rule, a Home and Community-based Services (HCS) Program provider must make sure their staff members, service providers and volunteers are:

  • trained on:
    • acts that constitute abuse, neglect and exploitation;
    • signs and symptoms of abuse, neglect and exploitation; and
    • methods to prevent abuse, neglect and exploitation; and
  • knowledgeable of:
    • acts that constitute abuse, neglect and exploitation;
    • signs and symptoms of abuse, neglect and exploitation; and
    • methods to prevent abuse, neglect and exploitation; and
  • instructed to report to Department of Family and Protective Services (DFPS) immediately, but not later than one hour, after having knowledge or suspicion that a person has been, or is being, abused, neglected or exploited by:
  • provided with written instructions described in the bullet above.

2. Optional Computer-Based Training and Competency Test

An HCS Program provider can have their staff members, service providers and volunteers complete the Health and Human Services Commission’s (HHSC’s) ANE Competency Training. The completion of the computer-based training by employees, agents and subcontractors meets the requirement in the first bullet in Section 1 of this appendix.

If staff members, service providers and volunteers complete HHSC’s ANE Competency Final Test, they must receive a score of at least 80%.

The completion of the competency test by staff members, service providers and volunteers meets the requirement in the second bullet in Section 1 of this appendix.

Staff members, service providers and volunteers must sign up on the Learning Portal to have access to HHSC-approved trainings, including ANE Competency Training and Exam. The ANE training is in Medicaid Long Term Services and Supports Training under the Health and Human Services Commission Courses tab.

3. Documentation Requirements

Program providers must maintain records documenting that staff members, service providers and volunteers have received training on ANE. If using HHSC’s ANE Competency Training as evidence of ANE training, the HCS program provider must maintain a copy of the certificate generated from HHSC’s ANE Competency Final Test for each staff member, service provider and volunteer. The program provider must maintain training records per 26 TAC Section 52.113,  Record Retention and Disposition.