(a) The Texas Health and Human Services Commission (HHSC) issues a provisional license to an applicant currently licensed or registered as a nursing facility administrator (NFA) in another state who submits the following to HHSC:
  (1) complete and notarized Provisional Licensure Questionnaire and Nursing Facility Administrator License Application forms;
  (2) the application fee;
  (3) the provisional license fee; and
  (4) proof of the following:
    (A) a license and good standing status in another state;
    (B) employment for at least one year as an administrator of record of a nursing facility in applicant's state;
    (C) a passing score on the National Association of Long Term Care Administrator Boards examination and the state examination; and
    (D) sponsorship by an NFA licensed by HHSC and who is in good standing, unless HHSC waives sponsorship based on a demonstrated hardship.
(b) A provisional license expires 180 days from the date of issue.
(c) HHSC issues an initial license certificate to a provisional license holder who satisfies the requirements for a license in §555.12 of this chapter (relating to Licensure Requirements) and §555.31 of this subchapter (relating to Initial license).
(d) HHSC may determine that a criminal conviction or sanction taken in another state is a basis for pending or denying a provisional license.
(e) If the internship hours completed in another state do not meet the requirements in §555.13 of this chapter (relating to Internship Requirements), then a provisional licensee must complete the required internship hours under the supervision of an HHSC-certified preceptor as described in §555.12 of this chapter.

Source Note: The provisions of this §555.32 adopted to be effective June 1, 2004, 29 TexReg 4233; amended to be effective June 1, 2009, 34 TexReg 2795; transferred effective May 1, 2019, as published in the Texas Register April 12, 2019, 44 TexReg 1880; amended to be effective November 14, 2021, 46 TexReg 7791; amended to be effective December 6, 2023, 48 TexReg 7078