Nursing Facility Liability Insurance Coverage Add-On

The following rate add-ons for liability insurance will be effective September 1, 2014:
Professional and General (PL/GL): $1.67 per day of service
Professional Only (PL Only): $1.53 per day of service
General Only (GL Only): $0.14 per day of service

These add-on rates are subject to review as the rate year progresses. If the number of contracts with liability insurance changes significantly, the add-on rates could change.

View the Liability Insurance Coverage - Add-On Awarded list (.pdf)

If your contract is not currently receiving the liability insurance add-on; one of three things has happened: 1) your contract did not submit a NF Liability Insurance Coverage Certification; 2) your contract submitted a NF Liability Insurance Coverage Certification indicating that it did not carry liability insurance; or 3) your contract submitted a NF Liability Insurance Coverage Certification which Rate Analysis has been unable to verify If your contract is not currently receiving the liability insurance add-on and you believe that it should be, please contact the Rate Analyst.

As per Title 1 of the Texas Administrative Code §355.312, providers who cancel or fail to renew their liability coverage during a rate year must notify HHSC Rate Analysis within two weeks of the effective date of their cancellation or failure to renew.

Providers who renew their liability coverage during a rate year must submit a NF Liability Insurance Coverage Certification (.xls) to ensure the continuation of their liability insurance add-on.