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PDPM LTC Algorithm Update for K0520A2 Field Deployed December 18, 2025

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The Texas Health and Human Services Commission (HHSC) and the Texas Medicaid & Healthcare Partnership (TMHP) have updated the Patient Driven Payment Model for Long-Term Care (PDPM LTC) nursing component calculation.

The K0520A2: Nutritional Approaches – Parenteral/IV Feeding – While Not a Resident field is now included in the nursing component’s Special Care High evaluation.

With this update, the content of the K0520A2 field will be included in the evaluation when the following two conditions are met:

  • The content of the A1700: Type of Entry field is “1. Admission” or “2. Reentry.”
  • The date in the A2300: Assessment Reference Date field is within seven days of the date in the A1600: Entry Date field.

Note: This change applies only to the PDPM LTC calculation on the nursing facility (NF) Minimum Data Set (MDS). NF waiver assessments are not impacted.

No action is required for NFs at this time. Impacted MDS assessments will be updated through a data fix in January 2026. Updates to impacted claims will follow.

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