HHS Proposed Medicaid Payment Rates for Nursing Facility Services, Effective September 1, 2025

Policy Regulatory
October 2, 2024
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Hearing. The Texas Health and Human Services Commission (HHSC) conducted a public hearing to receive public comments on proposed Medicaid payment rates for nursing facility (NF) services. The proposed payment rates will support the implementation of the Patient Driven Payment Model Long-Term Care (PDPM LTC) methodology for NF services. Proposal. The 88th Texas Legislature directed HHSC to develop and implement a Texas version of the PDPM rate methodology in accordance with the 2024-25 General Appropriation Act, House Bill 1, 88th Legislature, Regular Session, 2023 (Article II, HHSC, Rider 25). The proposed payment rates were determined in accordance with Title 1 of the Texas Administrative Code Section 355.318, concerning Reimbursement Setting Methodology for Nursing Facilities on or after September 1, 2025. HHSC will publish Section 355.318 as adopted in the September 6, 2024 issue of the Texas Register. Proposed rate actions for NF services are effective September 1, 2025. Bac

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