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Jun 04, 2026

HHSC Publishes Updated Provider Letter 2026-06, Replacing Previous Guidance

The Texas Health and Human Services Commission Long-term Care Regulation has released a revised Provider Letter, PL 2026-06, outlining a new process for submitting Medicaid occupancy reports. This updated letter replaces the previous Provider Letter 15-06.

The guidance applies to licensed Medicaid-certified nursing facilities and explains changes to how these facilities must submit their Medicaid occupancy reports.

Starting June 01, 2026, nursing facility providers will be required to submit all Medicaid occupancy reports through the Texas Unified License Information Portal, also known as TULIP. It is HHSC’s online licensing system created for licensed long-term care providers.

Providers can find the occupancy reporting option under the “Reporting” section on the Provider Portal home page.

HHSC encourages nursing facilities to review the full provider letter to understand the updated reporting requirements and submission process.

Services

Credentialing

Credentialing is the rigorous process of verifying a healthcare provider’s qualifications, including their education, training, licenses, and clinical experience. This service ensures that practitioners meet the high standards required by insurance networks and hospitals to provide care and receive reimbursement.

Billing & Collection

Billing and Collection service involves confirming a patient’s insurance coverage, active status, and specific benefits before their appointment. By identifying co-pays, deductibles, and required prior authorizations upfront, staff can prevent claim denials and help patients understand their financial responsibilities.

Eligibility Verification

Eligibility verification is the process of verifying a patient’s health insurance coverage and benefits to determine what services are covered and the level of coverage available. This process is essential for healthcare providers to ensure that they receive proper reimbursement for services rendered and that patients are not left with unexpected medical bills.

Revenue Cycle Management

RCM is the financial process that manages the entire lifecycle of a patient’s account, from the initial appointment scheduling to the final balance payment. It integrates eligibility, coding, billing, and collections into a single, cohesive workflow aimed at maximizing a practice's profitability.

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