TX HB3910

Requires the executive commissioner to develop a process for determining presumptive eligibility for Medicaid for applicants needing nursing facility care, providing benefits for up to 90 days while final eligibility is determined

Mandates a preliminary screening tool for nursing facilities to assess whether applicants meet medical necessity criteria for nursing facility care and are likely eligible for Medicaid

Requires applicants to sign a written agreement attesting to the accuracy of their financial information and acknowledging the temporary nature of presumptive eligibility

Requires the commission to make a final Medicaid eligibility determination within 45 days of receiving an application, with retroactive application of eligibility up to 90 days if approved

If the commission fails to make a determination within 45 days, nursing facilities may request Medicaid reimbursement for services provided during the presumptive eligibility period, but must repay funds if the applicant is ultimately found ineligible

Effective date: September 1, 2025, with implementation potentially delayed if federal waivers or authorizations are required