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):

Customized Manual Wheelchair (CMWC) and durable medical equipment (DME) benefits (specialized services only):

General NF Contracting or Policy

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 licensing and certification, call 512-438-2630.

MDS Resources

  • MDS Automation and QIES Coordinator, Brian Johnson, 512-438-2396

Nursing Facility Requirements (Regulatory Policy)

  • 512-438-3161

Preadmission Screening and Resident Review (PASRR)

Quality Monitoring Program (QMP)

Regulatory Services Regional Contacts

RUGS Training Information

  • 512-491-2072, 512-491-1750, 512-491-2020
  • Website