MedicaidAdministrativeMedium impact
HHSC has published IL 2026-09 Nursing Pre-Assessment Services Billing Requirements
Texas Medicaid·TX · Family Medicine, Internal Medicine, General Practice·Billing
We identified it
Apr 18, 2026
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.