Nursing Facility Provider Agreements: Compliance With Patient Care Expense Ratio

Sec. 540.0283. NURSING FACILITY PROVIDER AGREEMENTS: COMPLIANCE WITH PATIENT CARE EXPENSE RATIO. (a) A contract to which this subchapter applies must require that each provider agreement between the contracting Medicaid managed care organization and a nursing facility include a requirement that the facility comply with the patient care expense ratio adopted under Section 32.0286, Human Resources Code. (b) This section does not apply to a state-owned facility. Added by Acts 2025, 89th Leg., R.S., Ch. 1135 (S.B. 457), Sec. 3, eff. September 1, 2025. SUBCHAPTER G. PRIOR AUTHORIZATION AND UTILIZATION REVIEW PROCEDURES