Texas MedicaidMedium ImpactAdministrative

HHSC Publishes Fiscal Year 2025 Cost Reports Primary Entity Contacts List

Published March 3, 2026Effective March 2, 2026

AI Summary

Texas HHSC is transitioning to a new web-based system called STEPS for collecting Medicaid cost reports, with fiscal year 2025 cost reports due starting March 2, 2026. Primary Entity Contacts must register in STEPS and ensure their email addresses match between the PEMS system and STEPS, or cost reports will not populate properly.

Action Required

By March 2, 2026: Primary Entity Contacts for applicable Medicaid providers must register for STEPS system access and verify their email address in PEMS matches their STEPS registration email. Update PEMS email address following Step 5 on page 10 of the STEPS User Guide if needed. Assign Financial Contacts and Cost Report Preparers in STEPS. Failure to submit/certify cost reports can lead to financial penalties.

Plan Types

Medicaid

States

TX

Specialties

all-specialties