Please read the information below carefully before you register.
Resource Utilization Group (RUG) Training
TXST RUG

Texas Health and Human Services Commission's Office of Inspector General, in collaboration with Texas State University, offers the online RUG training courses to Medicaid providers, contractors, employees, and staff from other state agencies involved in the administration of health and human services.

About the Course
This web-based training on the Minimum Data Set (MDS) – Resource Utilization Group (RUG) is intended for long-term care nurses and other providers of long-term care in an institutionalized setting, and for nurses and providers associated with the Department of Aging and Disability Services Community Programs. It is designed to provide the requirements for completing MDS assessments for Texas Medicaid payment.
Texas State University, in cooperation with the Office of Inspector General, makes this training available online, hosted by TXST Continuing Education.
- Nurses must complete RUG training every two years to be able to submit forms for Texas Medicaid payments.
- There are no CEUs (Continuing Education Credits) offered for either RUG course.
Important Information About RUG
Course fee: $40
- Forms of payment accepted: Credit/Debit card (Visa, MasterCard, Discover, American Express)
- Users must pay and register. If user fails to do either, they will not have access to the course until both are completed
90 days
- Users have 90 days from the date of registration to complete the training
- If the user fails to complete within 90 days, they must register and pay again to take the course
2 years
- RUG Training must be completed every 2 years
Online
- The RUG Training Course is hosted in Canvas. It is online and self-paced. This requires a secure connection to the internet, web browser (Chrome, Safari), keyboard, and mouse


TXST RUG is open Monday through Friday, 9 am to 4 pm CST.
- No emails, registrations, certificates or TMHP updates are done outside of these hours
- Anything received outside of normal business hours will be answered the next business day
- TXST RUG follows the Texas State University Holiday Schedule
- Closed for Winter and Spring Break, and all national holidays

TXST RUG is contracted with the Texas Health and Human Services Commission to administer the Resource Utilization Group (RUG) Minimum Data Set (MDS) Nursing Facilities and Community Services training programs for nursing facility and community waiver audiences per federal and state requirements.
Important Contact Information
The Texas Health and Human Services Commission
Office of the Inspector General
Service | Inquiry Type | Contact Information |
---|---|---|
Corrective Action | - | 512-491-1750 |
Nursing Facility | Questions and Information | 512-491-1750 |
HHSC Community Service | Questions and Information | 512-438-2200 |
STAR+PLUS | Completing the MN/LOC Assessment | Contact Nadia Bobb or Veronica Neville |
STAR+PLUS | MN Determination and RUG Questions | Contact TMHPat 800-626-4117 |
MDCP | Completing the SK / SAI | Contact the STAR Kids Health Plan |
MDCP | MN Determination & RUG Questions | Contact TMHPat 800-626-4117 |
PACE | RUG Questions | 512-438-2013 |
TXST RUG
Texas State University – Continuing Education
ASBN 302, 601 University Drive
San Marcos, TX 78666
Email: rugs-ce@txstate.edu