Texas MedicaidMedium ImpactAdministrative

HHSC has published IL 2026-09 Nursing Pre-Assessment Services Billing Requirements

Published April 18, 2026

AI Summary

HHSC has published Information Letter 2026-09 clarifying the billing process for registered nursing (RN) pre-assessment services provided prior to enrollment in CLASS and DBMD programs. The policy provides guidance on how to bill for nursing assessments that occur before patients are officially enrolled in these Texas Medicaid waiver programs.

Action Required

Immediately: Billing team should review Information Letter 2026-09 on the CLASS and DBMD Information and Provider Letters webpages to understand the new RN pre-assessment billing process for services provided prior to enrollment. Contact CLASSPolicy@hhs.texas.gov or DBMDPolicy@hhs.texas.gov with questions about implementation.

Plan Types

Medicaid

States

TX

Specialties

family-medicine, internal-medicine, general-practice