Nursing Facilities (NF)

Questions about enrolling?

Call the Licensing and Certification Unit at 512-438-2050

Visit the Texas Unified Licensure Information Portal (TULIP) website

For application forms and instructions.

Civil Money Penalty (CMP) Reinvestment Program

Accepts applications for new projects during the following application periods (excludes Communicative Technology):
Jan. 1 – Feb. 28
July 1 – Aug. 31

What is a Nursing Facility?

The Nursing Facility program provides institutional care to individuals whose medical condition regularly requires the skills of licensed nurses. Nursing facility services are available to individuals who are Medicaid recipients or who wish to private pay for their care. The nursing facility must provide for the needs of each client, including room and board, social services, over-the-counter medications, medical supplies and equipment, and personal needs items.

A skilled nursing facility is a special facility or part of a hospital that provides medically necessary professional services from nurses, physical and occupational therapists, speech pathologists and audiologists. Skilled nursing facilities provide round-the-clock assistance with healthcare and activities of daily living. Skilled nursing facilities are used for short-term rehabilitative stays after an individual is released from a hospital.

A Hospital-based SNF is located in a hospital and provides skilled nursing care and rehabilitation services for people who have been discharged from that hospital but who are unable to return home right away. They do not accept general admissions.

Provider Communications

Read news, information letters (ILs) and provider letters (PLs).

Table of NATCEPs Willing to Take on More Students (PDF)


Joint Training


For older recordings, email LTCR Policy.

Directories and Licensure and Regulation Tags

Regulatory Comment Card Survey

Please take a short survey about the recent visit to your facility by Texas Health and Human Services Long-Term Care Regulatory.


Information & Provider Letters

Case-sensitive. Use commas to separate multiple entries.
Note: These files are in PDF format unless otherwise noted.
Number Title/Notes Date Published
IL 2022-34 Information Letter No. 2022-34 (Replaces IL 2022-29) Changes to the Nursing Facility Liability Insurance Rate Add-ons Effective May 1, 2022

Note: Replaces IL 2022-29

IL 2022-31 Preparing for the upcoming Fiscal year 2022 Fee-for-Service Claims Billing Closeout
PL-2022-11 Consent for Antipsychotic and Neuroleptic Medications
PL 2022-12 Revised Instructions for Medicaid Bed Allocation Requests

Note: Replaces PL 01-39, PL 17-30, and PL 18-02

PL 2022-20 TULIP Credentialing System for Nursing Facility Administrators Update
IL 2022-16 Guidelines for Personal Needs Allowances (PNA)

Note: Replaces IL 17-06

PL 2022-04 Training Requirements for Nurse Aides and Nurse Aide Training and Competency Evaluation Programs (Revised)

Note: This letter was previously revised on February 4, 2022 to correct the PL number from 2022-05 to 2022-04.

PL 2022-06 Web-based Licensure System for Nursing Facility Administrators
PL 2022-01 Updates to Nursing Facility Administrator (NFA) Rules
PL 2021-43 Updates to Nursing Facility Rules

Note: Originally published 12/16/2021