Contact NF Program Staff

Claims (Provider Claims Hotline)

• Nursing facility/hospice billing: 512-438-2200, Option 1
• Emergency dental, rehab/specialized services: 512-438-2200, Option 6

Culture Change

Nursing facility inquiries related to culture change principles, philosophy or practice (e.g. person-directed care, related regulations, home-like environment):

• Email HHS Quality Monitoring Program
• Email HHSC LTCR Policy

Long-term Care Regulatory Nursing Facility, Policy or Rule Questions

• Email HHSC LTCR Policy or call 512-438-3161.

How to Become a Nursing Facility Provider

In order to become a nursing facility provider, you must first apply for a license. Facilities may wish to be private pay (facility with no certification) or Medicaid - and/or Medicare-certified. To contact provider licensure and certification, call 512-438-2630.

How to Obtain a Medicaid Contract

To contact Contract Administration and Provider Monitoring, call 512-438-3390 or email HHSC CAPM NF ICF Contracts.

Minimum Data Set (MDS) Resources

• MDS Automation Coordinator, email HHSC RSD MDS Support
• MDS RAI Coordinator, email HHSC RAI MDS Support.
• Texas MDS website

Preadmission Screening and Resident Review (PASRR)

• PASRR website
• Contact PASRR staff: call 855-435-7180 or email HHSC PASRR Support
• Customized Manual Wheelchair and Durable Medical Equipment benefits (specialized services only)

Quality Monitoring Program (QMP)

• QMP Website
• Contact QMP staff: call 512-438-4399 or email HHS Quality Monitoring Program

Long-term Care Regulatory Regional Contacts

• Long-term Care Regulatory Regional Contact Numbers