The Long-Term Care Regulation Provider Letter PL 2022-27 requires Texas nursing facilities (NFs) to update their Minimum Data Set (MDS) software for Section GG data collection. Effective November 1, 2022, NF providers must complete Section GG and related fields before submitting an Omnibus Budget Reconciliation Act (OBRA) assessment. This data collection will help HHSC compare and evaluate costs under different payment models, such as Resource Utilization Group (RUG) III and Patient Driven Payment Model (PDPM). The policy applies to all NF providers, regardless of Medicaid participation. NF providers must ensure their MDS software is updated and set the appropriate values for data collection. The new system will replace the current RUG III Case-Mix system, and the data collected will be used for future Medicaid Upper Payment Limit (UPL) calculations. Providers should consult their software vendor for assistance in updating their systems.

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