Public Hearing Notice Proposed Medicaid Payment Rates for Nursing Facility Services, Effective September 1, 2025 Agenda

Hearing. The Texas Health and Human Services Commission (HHSC) will conduct 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.

This hearing will be conducted both in-person and online. To join the hearing from your computer, tablet, or smartphone, register for the hearing in advance using the following link to the registration URL:

https://attendee.gotowebinar.com/register/6128813494671077721.

After registering, you will receive a confirmation email containing information about joining the webinar. Instructions for dialing in by phone will be provided after you register.

If you are new to GoToWebinar, please download the GoToMeeting app at https://global.gotomeeting.com/install/626873213 before the hearing starts.

Members of the public may attend the rate hearing in person, which will be held in the Public Hearing Room M100 in the Robert D. Moreton Building, 1100 West 49th Street, Austin, Texas 78756.

A recording of the hearing will be archived and can be accessed on demand at https://hhs.texas.gov/about-hhs/communications-events/live-archived-meetings under the “Archived” tab. The hearing will be held in compliance with Texas Human Resources Code Section 32.0282, which requires public notice of and hearings on proposed Medicaid reimbursements.

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.

Rate Hearing Packet. A briefing packet describing the proposed payment rates will be made available at https://pfd.hhs.texas.gov/rate-packets no later than September 20, 2024. Interested parties may obtain a copy of the briefing packet on or after that date by contacting Provider Finance by telephone at (512) 730-7401, by fax at (512) 730-7475, or by email at
PFD-LTSS@hhs.texas.gov.

Written Comments. Written comments regarding the proposed payment rates may be submitted instead of, or in addition to, oral testimony until 5 p.m. the day of the hearing. Written comments may be sent by U.S. mail, overnight mail, special delivery mail, fax, or email:

U.S. Mail
Texas Health and Human Services Commission
Attention: Provider Finance, Mail Code H-400
P.O. Box 149030
Austin, Texas 78714-9030

Overnight mail or special delivery mail
Texas Health and Human Services Commission
Attention: Provider Finance, Mail Code H-400
North Austin Complex
4601 W. Guadalupe St.
Austin, Texas 78751

Phone number for package delivery: (512) 730-7401

Fax
Attention: Provider Finance: (512) 730-7475

Email
PFD-LTSS@hhs.texas.gov

Preferred Communication. For the quickest response, please use email or phone, for communication with HHSC related to this rate hearing.

Persons with disabilities who wish to participate in the hearing and require auxiliary aids or services should call Provider Finance at (512) 730-7401 at least 72 hours before the hearing so appropriate arrangements can be made.