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Texas Health and Human Services Commission Published Fiscal Year 2027 Nursing Facility Liability Insurance Add-On Rate Primary Entity Contact List

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Texas Health and Human Services Commission (HHSC) has transitioned to a new web-based software application to collect Nursing Facility Liability Insurance Add-On Rate (NFLAR) enrollments. The new system, the State of Texas Electronic Provider System (STEPS), will update and simplify the NFLAR enrollment process.

On July 01, 2026, HHSC will begin collecting fiscal year 2027 NFLAR enrollments.

HHSC has published a list of the identified Primary Entity Contacts (PECs) (.xlsx) on the HHSC STEPS website.

HHSC encourages PECs to acquire STEPS system access as soon as possible.

Updating the Primary Entity Contact in the Provider Enrollment and Management System

The NFLAR enrollment application will not populate in STEPS unless the PEC’s email address in PEMS matches the email address used to register in STEPS. HHSC cannot update a PEC designation on behalf of a provider in PEMS or in STEPS. For instructions on updating the PEC in PEMS, please follow Step 5 on page 10 of the STEPS User Guide (.pdf).

STEPS Resources and Updates

For questions about STEPS functionality or issues within the application, contact HHSC using one of the following:

If you have any questions about NFLAR, please email the HHSC PFD Long-Term Services and Support team.