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Updated PDPM Calculation Worksheet

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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.

The PDPM LTC calculation worksheet has been updated to include all fields used in the comorbidity score calculation. 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.