Overview
The Provider Finance Department for Long-Term Services and Supports (PFD LTSS) develops reimbursement methodology rules for determining payment rates or rate ceilings for recommendation to the Health and Human Services Commission (HHSC) for Medicaid payment rates and non-Medicaid payment rates for programs operated by the Health and Human Services Commission (HHSC) and the Department of Family and Protective Services (DFPS). PFD LTSS develops payment rates or rate ceilings in accordance with these rules and agency policy guidelines.
Announcements
Cost/Accountability Reports Information
The 2024 Cost Report Training information is available. For more information, please click here.
For your convenience, PFD LTSS has provided links to the web pages routinely utilized for cost/accountability reports. In addition, these links can also be found on your program webpage. Links to your program and to the cost report training page can be found on the left-hand navigation.
• Cost and Accountability Report Training Information and Instructions
• 2024 Cost Report Training Registration Information
• Report Worksheets and Instructions
• View COVID Related Information and Updates (.pdf) (Updated 11/03/2022)
Rate Enhancement 2025 Open Enrollment Information
Rate Enhancement 2025 Open Enrollment
2025 Enrollment Levels Awarded
Nursing Facility Liability Insurance Coverage Add-On Awarded List Effective 09/01/2024 - 08/31/2025
- Rider 150: Semi-Annual COVID-19 Reporting for Nursing Facilities and Hospitals (updated 07/23/2024)
Nursing facilities and hospitals must submit semi-annual COVID-19 federal fund reports in accordance with the 2024-25 General Appropriations Act, House Bill 1, 88th Legislature, Regular Session, 2023 (Article II, HHSC, Rider 150).
The reporting schedule is as follows:- Due Mar. 1, 2024: data for Sep. 1, 2023 – Jan. 31, 2024
- Due Sep. 1, 2024: data for Feb. 1, 2024 – Jul. 31, 2024
- Due Mar. 1, 2025: data for Aug. 1, 2024 – Jan. 31, 2025
Only nursing facilities and hospitals are subject to this reporting requirement; other health care institutions are not subject to this Rider 150 reporting requirement.
The update to the reporting requirement is reflected in an amendment to Texas Administrative Code, Title 1, Part 15, Chapter 355, Subchapter I, Section 355.7201, concerning Novel Coronavirus (COVID-19) Fund Reporting. The rule text and preamble is available here (pdf).
Instructions:
There are two ways to submit the Rider 150 report.
- To submit on behalf of multiple hospitals and/or nursing facilities that received $0 during the reporting period: submit the Authorized Representative Designation document. To do so, complete this spreadsheet (.xlsx) and email it to HHSC_RAD_Survey@hhs.texas.gov.
- To submit on behalf of an individual hospital or nursing facility: Submit the form at this link. You will receive a confirmation page once your report is submitted; no email confirmation will be sent.
If you have any questions about this required reporting for nursing facilities and hospitals, please contact the Provider Finance Department at HHSC_RAD_Survey@hhs.texas.gov.
- 2022 COVID-19 Grant Programs
December 16, 2021
Pursuant to Senate Bill (S.B.) 8, 87th Legislature, 3rd Called Session, 2021, the Health and Human Services Commission will administer one-time grants for the following providers:
- $75,000,000 million for rural hospitals (S.B. 8, Section 12);
- $38,000,000 ($250,000 per rural hospital) via direct grant awards;
- $37,000,000 distributed via a competitive grant process;
- $200,000,000 for nursing facilities (S.B. 8, Section 33);
- $90,000,000 ($75,000 per licensed facility) in direct grant awards;
- $110,000,000 distributed via a competitive grant process;
- $178.3 million for assisted living facilities, home health agencies, intermediate care facilities for individuals with intellectual and developmental disabilities or related conditions, and providers of community attendant services (S.B. 8, Section 33) distributed via a competitive grant process.
More information will be published at the following link under “COVID-19 in Healthcare Relief Grants” as it becomes available: https://www.hhs.texas.gov/business/grants/grants-awarded-hhs
- $75,000,000 million for rural hospitals (S.B. 8, Section 12);