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HHSC to Begin Collecting FMSA SFY 2024 Cost Survey

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HHSC will begin collecting cost surveys for the state fiscal year (SFY) 2024 on Sept. 1, 2025. The purpose of the cost survey is to collect Financial Management Services Agency (FMSA) costs for SFY 2024 for all FMSAs in Texas. This cost information will be used in the review of current FMSA rates for Medicaid and non-Medicaid programs. HHSC is collecting the cost survey in accordance with HHSC’s Medicaid State Plan, which requires HHSC to collect provider cost data to support the FMSA reimbursement methodology on a biennial basis. The FMSA SFY 2024 Cost Survey template will be available to download on the Provider Finance Department (PFD), Long-term Services and Supports (LTSS) website on Sept. 1, 2025. All cost surveys are due by email by 11:59 p.m. on Monday, Dec. 1, 2025.

HHSC has published the Information Letter (IL) 2025-18 regarding the FMSA SFY 2024 Cost Survey. Frequently Asked Questions (FAQ) information can be accessed at the HHSC PFD LTSS web page.

Review the IL for more information. If you have further questions, contact HHSC PFD, Long-term Services and Supports (LTSS), Center for Information and Training at PFD-LTSS@hhs.texas.gov or (737) 867-7817.