Nursing Facility (NF)
Overview
The Nursing Facility program provides institutional care to Medicaid recipients whose medical condition regularly requires the skills of licensed nurses. The nursing facility must provide for the total medical, social and psychological needs of each client, including room and board, social services, over-the-counter drugs, medical supplies and equipment, and personal needs items.
Reporting Information
Cost and Accountability Reports
View Cost and Accountability Reporting Information
Liability Insurance Coverage Rate Add-Ons
View Liability Insurance Coverage Rate Add-ons
Methodology / Rules
The Texas Medicaid Nursing Facility (program-specific) Cost-Finding Methodology is located at Title 1 of the Texas Administrative Code, Part 15, Chapter 355, Subchapter C, Rules 304, 306, 307, 308, 401-403. These rules explain in detail how the daily RUG payment rates are calculated.
Cost Determination Process Rules applicable to the Texas Medicaid Nursing Facility Program are located at Title 1 of the Texas Administrative Code, Part 15, Chapter 355, Subchapter A, Rules 101-110.
Rules pertaining to the maintenance of contractor records for the Texas Medicaid Nursing Facility Program are located at Title 40 of the Texas Administrative Code, Part 1, Chapter 49, Subchapter C, Rule §49.305 and Rule §49.307.
Rules pertaining to the Direct Care Staff Compensation Rate Enhancement are located at Title 1 of the Texas Administrative Code, Part 15, Chapter 355, Subchapter C, Rule 308.
Rules pertaining to Direct Care Staff Spending Requirement on or after September 1, 2023, are located at Title 1 of the Texas Administrative Code, Part 15, Chapter 255, Subchapter C, Rule 304.
Payment Rate Information
Effective September 1, 2025 (.pdf)
Effective September 1, 2023 (.pdf)
Effective June 10, 2023-August 31, 2023 (.pdf)
Effective September 1, 2014 (.pdf)
Effective September 1, 2013 (.pdf)
Effective February 1, 2011 (.pdf)
Effective September 1, 2010 (.pdf)
Effective September 1, 2009 (.pdf)
Effective September 1, 2008 (.pdf)
Effective September 1, 2007 (.pdf)
Effective September 1, 2006 (.pdf)
Effective January 1, 2006 (.pdf)
Effective September 1, 2005 (.pdf)
Effective September 1, 2004 (.pdf)
Effective September 1, 2003 (.pdf)
Effective September 1, 2002 (.pdf)
Effective September 1, 2001 (.pdf)
Effective September 1, 2000 (.pdf)
Nursing Aid Training Rates
View Nursing Aid Training Rates (.pdf) (Effective September 1, 2023)
View Nursing Aid Training Rates (.pdf) (Effective prior to September 1, 2023)
Rate Enhancement - Direct Care Staff Compensation
View 2025 Rate Enhancement - Attendant Compensation Information
View 2024 Rate Enhancement - Attendant Compensation Information
View 2023 Rate Enhancement - Attendant Compensation Information
Training Information
View Cost Report Training Information
Nursing Facility Supplemental Payment Programs
View Nursing Facility Minimum Payment Amount
View Quality Incentive Payment Program (QIPP)