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The term "negotiated rulemaking" specifies a particular process to be used to draft a proposed rule. This process provides for a group of 12-15 stakeholders who represent differing interests affected by the proposed rule to negotiate and potentially reach agreement on a proposed rule.

HHSC is mandated to create and provide nursing facilities with one of the posters required by Texas Administrative Code, Title 26, Part 1, Chapter 554, §554.1921(e), the notice of how to file a complaint, giving the toll-free telephone number. This page provides information on how to obtain these posters.

QSO-23-08-HOSPICE informs Hospice providers of revisions to the State Operations Manual

Long-Term Care Regulation staff and program providers are invited to attend the following trainings hosted in February. Please verify if registering for a webinar or in-person class.

The Centers for Medicare and Medicaid Services (CMS) has issued QSO-23-05-NH and QSO-23-06-ALL.

A recording of the Jan. 13 home and community support services agency provider webinar with HHSC Long-term Care Regulation is now available.

HHSC has posted the state’s HCBS Settings Rule final Statewide Transition Plan (STP) for public comment. Notice of the STP was published in the Jan. 13, 2023 edition of the Texas Register. However, due to errors in the publication, a revised notice regarding the STP is expected to be published in the Jan. 27, 2023 edition of the Texas Register.

HHSC will submit a final Statewide Transition Plan (STP) to the Centers for Medicare and Medicaid Services (CMS). The STP is posted for public comment.

Following the repeal of the Home and Community Support Services Agencies COVID-19 Emergency Rules, HHSC Long-term Care Regulation (LTCR) has retired the HCSSA COVID-19 Frequently Asked Questions document, effective Jan. 10, 2023.

HHSC approved payment rates for Medicaid Community Hospice to be effective retroactively to Oct. 1, 2022.

HHSC Long-Term Care Regulation and DSHS will host a Nursing Facility Provider Webinar on Wednesday, Jan. 25, from 2–4 p.m.

New rules regarding the appeals process became effective Jan. 1.

Long-Term Care Regulation staff and program providers are invited to attend the following trainings hosted in January.

Effective Jan. 1, 2023, HHSC adopts new Individualized Skills and Socialization rules for providers who want to deliver individualized skills and socialization services.

A recording of the Dec. 14 nursing facility updates webinar with HHSC Long-term Care Regulation and the Department of State Health Services is now available.