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Reminder: Nursing Facility Liability Insurance Rate Add-on: Annual Provider Attestation
Texas Medicaid·TX · Geriatrics·Fee Schedule
Effective date
Sep 1, 2026
We identified it
Aug 1, 2026
Summary
Texas nursing facilities must complete an annual Nursing Facility Liability Insurance Coverage Attestation (NFLAR) enrollment application through the STEPS system between July 1, 2026, and July 31, 2026, to receive liability insurance rate add-on payments for State Fiscal Year 2027. This is a new attestation requirement tied to reimbursement eligibility.
Action Required
By July 31, 2026: Nursing facility providers must complete the NFLAR enrollment application within the State of Texas Electronic Provider System (STEPS). Enrollment instructions will be available July 1, 2026, on the HHSC Provider Finance Department (PFD) website. Failure to complete attestation by the deadline will result in loss of liability insurance rate add-on payments for SFY 2027 (Sept. 1, 2026 - Aug. 31, 2027). Billing team should: (1) Verify your facility is registered in STEPS, (2) Monitor PFD website starting July 1, 2026, for NFLAR enrollment instructions, (3) Assign responsibility for completing attestation application, (4) Track submission confirmation for records, (5) Contact HHSC PFD with any questions. This affects all rate calculations and claims for the upcoming fiscal year.