Explore public resources, issue information, and helpful links related to Texas nursing home quality care, provider sustainability, policy priorities, and long-term care advocacy. TNHC will continue to expand this page as new resources become available.
TNHC’s Quality Care Priorities
1. Create a Sustainable Funding Solution |
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The rising costs call for a sustainable funding mechanism. TNHC's proposed reimbursement solution maximizes the funding resources and helps keep pace with inflation. We recommend leveraging the residents' annual Federal Social Security adjustment to support a yearly Medicaid base rate increase without requiring new state appropriations.
2. Develop Patient Care Protection for Medicare Advantage Enrollees |
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The majority of Texas seniors enrolled in both Medicare and Medicaid are choosing Medicare Advantage (MA) plans. Residents enrolled in these MA plans face care delays and denials. Enrollees need basic transparency safeguards to protect their care and ensure the Medicare coverage promise is met.
Quick Facts
- Texas nursing homes improved from 42nd nationally in 2019 to 18th in 2025 in CMS Quality Measure Ratings.
- Texas' CMS quality score increased from 3.02 to 3.75 over the same period.
- CMS quality measures include areas such as fall prevention, pressure ulcer reduction, infection control, appropriate antipsychotic medication use, unnecessary hospitalizations and rehospitalizations, independence in daily activities, and return to home.
- QIPP is described as a 100% earned, pay-for-performance program that improves quality care for seniors.
- QIPP earned payments account for nearly 25% of the reimbursement rate, and program funds are raised locally with no state GR used.
External Resources
AHCA/NCAL Member Login & Resources: Access AHCA/NCAL member tools, resources, savings programs, publications, and member-only information designed to support long-term and post-acute care providers. TNHC members can use this area to connect with national resources, stay informed on key issues, and take advantage of AHCA/NCAL member benefits.
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Incite Strategic Partners – A Best-in-Class Group Purchasing Organization (GPO): Incite Strategic Partners, AHCA’s exclusive GPO partner, offers competitive pricing on food and medical supplies, services, and more for nursing facilities. The GPO features the leading e-procurement solution, Incite Select—powered by DSSI. There are no fees to join Incite, no minimums, and no exclusivity requirements.
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AHCA/NCAL Education Opportunities: Explore AHCA/NCAL education and training opportunities for long-term care professionals at every level. Resources include online learning, webinars, courses, continuing education opportunities, leadership training, infection prevention training, nurse assistant training, and other tools to support professional growth and organizational excellence.
AHCA/NCAL Workforce & Career Resources: Find resources to support workforce development, recruitment, retention, and career growth in long-term care. AHCA/NCAL’s workforce tools highlight career pathways, training programs, caregiver stories, and resources for both individual professionals and long-term care organizations.
AHCA/NCAL Communications & News: Stay up to date on national long-term care news, policy updates, press releases, fact sheets, blog posts, social media resources, and stories from across the profession. AHCA/NCAL’s communications resources help members follow important developments affecting nursing homes, caregivers, residents, and the broader long-term care community.
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AHCA Publications: AHCA Publications offers books and resources tailored to the needs of long-term care and assisted living professionals. Topics include staffing, compliance, care practices, emergency preparedness, management, leadership, and CNA training, providing practical guidance for today's workforce.
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