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New PDPM Calculation Worksheet Now Available

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On September 1, the Texas Medicaid & Healthcare Partnership (TMHP) Long-Term Care Online Portal will transition from the current Resource Utilization Group to the Patient Driven Payment Model (PDPM) Long-term Care (LTC) methodology for nursing facility daily care reimbursement. A new PDPM LTC calculation worksheet is now available. The purpose of this worksheet is to illustrate how a resident is classified for payment purposes under PDPM LTC.

Providers can access the worksheet on the TMHP Long-Term Care Reference Material web page in the “General Information” section.

For more information, call the TMHP LTC Help Desk at 800-626-4117 and select option 1.