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Now Open: Nursing Facility Liability Insurance Rate Add-on: Required Annual Provider Attestation

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Pursuant to Title 1 of the Texas Administrative Code Section 355.312, concerning Reimbursement Setting Methodology – Liability Insurance Costs, HHSC requires nursing facilities (NF) to submit an annual provider attestation to receive liability insurance rate add-ons payments. For more information, please review the Information Letter 2026-18 (.pdf).

Beginning in state fiscal year (SFY) 2027, the Nursing Facility Liability Insurance Coverage Attestation (NFLAR) will be available through the State of Texas Electronic Provider System (STEPS). For more information on the STEPS system, visit theSTEPS webpage.

All NF providers must complete an NFLAR enrollment application within STEPS between July 1, 2026, and July 31, 2026, to receive liability insurance add-on rates for the SFY 2027 (Sept. 1, 2026, to Aug. 31, 2027).

NFLAR enrollment instructions will be available on July 1, 2026, and posted on theHHSC Provider Finance Department (PFD) website.

Contact HHSC PFD for any questions related to NF Liability Insurance Rate Add-ons.