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NFLAR Add-on: Preliminary SFY 2027 Add-on Awarded List Now Available

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HHSC has published the state fiscal year (SFY) 2027 Nursing Facility Liability Insurance Add-on Rate (NFLAR) Awarded list. HHSC requires nursing facilities (NF) to submit an annual provider attestation to receive the liability insurance rate add-on payments, in accordance with Title 1 of the Texas Administrative Code Section 355.312, Reimbursement Setting Methodology — Liability Insurance Costs.

To view the Liability Insurance Coverage – SFY 2027 Add-on Awarded list, visit the Provider Finance Department (PFD) website.

To receive liability insurance rate add-ons for the upcoming rate year (Sept. 1, 2026 – Aug. 31, 2027), NF providers were required to complete a liability insurance attestation during the open enrollment period from July 1, 2026 – July 31, 2026.

Beginning in SFY 2027, the NF Liability Insurance Coverage Attestation will be available as an enrollment application through the State of Texas Electronic Provider System (STEPS). Attestations were due by 5 p.m. CDT on July 31, 2026. HHSC does not accept submissions by fax, mail, or email and does not accept requests after the deadline.

If you have any questions regarding NF Liability Insurance Coverage Add-ons, contact HHSC PFD.