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Long-Term Care Providers Fiscal Year 2026 Year-End Closeout Claim/Payment Processing Schedule

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This article notifies Long-Term Care (LTC) fee-for-service (FFS) providers that state Fiscal Year (FY) 2026 ends on August 31, 2026, and FY 2027 begins on September 1, 2026. Additionally, claims with Dates of Service (DOS) in FY 2024 will become Miscellaneous Claims.

Miscellaneous Claims (FY 2024) Deadline

For FY 2024 DOS (9/1/2023 – 8/31/2024), the deadline for approved claim payments before becoming Miscellaneous Claims is Tuesday, August 4, 2026.

Miscellaneous claims occur when the service dates are earlier than two prior fiscal years, plus the current FY (for example, in FY 2027, DOS in FY 2024 are Miscellaneous). Miscellaneous claims for services that are less than eight years old and/or claims that total less than $50,000 owed to a single legal entity are paid on a first-come, first-served basis using funds appropriated during each legislative session. Miscellaneous claims over $50,000 and/or for services more than eight years old cannot be paid except as a special line item in the state budget.

See the Important Reminders section of this letter for information about the rules for claims submitted past the 12-month timely filing deadline.

Non-Miscellaneous Claims (FY 2025-2026) Processing Schedule

For FY 2025-2026 DOS (9/1/2024 – 8/31/2026), payment processing will temporarily be paused because of the state FY-end closeout and the Labor Day holiday:

FY 2026 DOS Year-End Claim/Payment Processing Schedules
For claims received at TMHP by noon on:Comptroller expected to issue warrant on:Comptroller expected to distribute warrant on:
August 21, 2026August 26, 2026August 27, 2026
August 31, 2026September 4, 2026September 8, 2026

Important Reminders:

  • Electronic Data Interchange (EDI) Processing Time: Processing of an EDI batch can take up to 24 hours. To determine the status of an EDI batch, EDI submitters should refer to the EDI response files. Please note: Providers working with EDI claim submitters, such as third parties and clearinghouses, must coordinate claim submission with their submitter to ensure TMHP receives the EDI claim files before the deadlines provided in the table above. For more information on EDI, see the EDI | TMHP web page.
  • Claim Processing/Payment Processing Timeline: To view the LTC FFS Claim Processing/Payment Timeline or Holidays Impacting LTC FFS Claim Processing/Payment Timeline, see the General Information section of the TMHP LTC Reference Material web page or the 1915(c) Waiver Programs Reference Material web page.
  • Twelve-Month Filing Rule: Providers must ensure that billing is complete for all services provided and that any problems related to claims are resolved within the 12-month filing deadline. Claims that are submitted or adjusted more than 12 months after the DOS will be denied because of untimely filing and may require a reconsideration request from the provider.
  • Remittance and Status (R&S) Reports: Providers must carefully review and reconcile all claims listed on their R&S reports. Providers should report any invalid recoupment claims to the HHSC Provider Recoupments and Holds department at (512) 438-2200, Option 3.
  • Comptroller Payment Search: The date payments are available in your account will vary by financial institution. To obtain information about the status of FFS claim payments, providers may access the Texas Comptroller of Public Accounts website at https://security.app.cpa.state.tx.us/Public/login and choose the Search State Payments Issued link.

All providers should continue to enter claims as usual throughout the fiscal year-end period. HHSC encourages providers to submit claims daily. Providers may refer questions to HHSC Provider Claims Services at (512) 438-2200, Option 1.