Nursing Facilities (NF)

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 resident, 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 a 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 Nurse Aide Training and Competency Evaluation Programs willing to take more students (PDF)

Guidance

Joint Training

Webinars

For older recordings, email LTCR Policy.

Directories and Licensure and Regulation Tags

Nursing Facility Change of Ownership (CHOW) Quarterly Report

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.

Communications

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 2023-31 Fiscal Year 2023 Cutoff Date for Year-End Closeout Processing LTC TMHP Claims
PL 2021-19 Certification Process for Nurse Aides Training and Working Under a Waiver

Note: Revised 7/17/2023.

PL 2023-14 Web-based Licensure System for Nurse Aides and Medication Aides
IL 2023-27 Nurse Aide Training and Competency Evaluation Program Effective September 1, 2023
IL 2023-24 Nursing Facility (NF) Temporary Add-on Rates Effective June 10, 2023, to August 31, 2023
PL 2023-13 Changes to Initial Self-Reporting Methods and Provider Investigation Report Form 3613/3613-A
IL 2023-21 Preparing for the Upcoming Fiscal Year 2023 Fee-for-Service Claims Billing Closeout
PL 2023-05 End of Temporary Waivers of Certain LTCR Requirements During COVID-19 Public Health Emergency

Note: Revised 5/8/2023. Replaced PLs 2020-21, 2020-26 and 2021-29.

IL 2023-14 Ending of Temporary Emergency Rate Increases for the Nursing Facility Program, Effective During the COVID-19 Emergency Declaration
PL 2023-07 Temporary Closures