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Patient Driven Payment Model for Long-Term Care Rate Setting Methodology for Nursing Facilities

Overview

Rider 25 in the 2024-25 General Appropriations Act (GAA), House Bill 1, 88th Legislature, Regular Session, 2023 (Article II, Health and Human Services Commission, Rider 25) provides appropriations for The Texas Health and Human Services Commission (HHSC) to “develop and implement a Texas version of the Patient Driven Payment Model (PDPM) methodology for the reimbursement of long-term stay nursing facility services in the Medicaid program to achieve improved care for long-term stay nursing facility services, excluding services provided by a pediatric care facility or any state-owned facilities.”

Webinar: Overview of the Proposed Nursing Facility Patient Driven Payment Long-Term Care (PDPM LTC) Rate Methodology.

View the April 12, 2024 Webinar Recording

View the April 12, 2024 Webinar Presentation