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Medicaid Bed Occupancy Reporting Reminders

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HHSC reminds nursing facility providers to submit Medicaid occupancy reports to the Medicaid Occupancy Reporting System no later than the fifth day of the month following the last day of the reporting period. Failure to comply with these requirements may result in HHSC withholding vendor payments until the report is complete. For more details, review 26 TAC §554.2322(l).

Please review and update your facility’s bed classifications and floor plan for accuracy. Timely and accurate updates are essential to maintain compliance and ensure correct billing and occupancy reporting.

If your facility’s Medicaid bed allocation is being reduced due to low occupancy rates, as defined in 26 TAC §554.2322(j)(5), remember to update your bed classifications and floor plan effective Sept. 1, 2025.

Note: The Medicaid Occupancy Reporting System website has moved, and the old link retired.

For questions, email medoccupancy@hhs.texas.gov.