Skip to main content

Updates to the Long-Term Care Bill Code Crosswalk for Nursing Facility Services Effective December 6, 2024

Last updated on

HHSC has modified Long-Term Care Nursing Facility (NF) billing combinations to support the TMHP EDI Clearinghouse project implementation.

The revised bill codes support TMHP upfront forwarding of Nursing Facility claims intended for managed care organization reimbursement.

Effective December 6, 2024, Nursing Facility Medicaid billers should refer to the modified Long-Term Care Bill Code Crosswalk:

Long-term Care Bill Code Crosswalks | Texas Health and Human Services

The table below shows the Long-Term Care Bill Code Crosswalk changes.

Long-Term Care Bill Code Crosswalk changes

For Long-Term Care claim billing questions, please contact the TMHP Help Desk at 1-800-626-4117, choose option 1, and then select sub-option 3 for claims support.