Resource Utilization Group (RUG) Training

About the Course

Important RUG Information

• You have 90 days to complete the training. If you do not complete the training within those 90-days, you will be removed from the course, and need to register and pay again.
• The RUG course is self-paced and consists of modules and assessments.
• Training must be repeated every two (2) years.
• TXST RUG operates on the Texas State University schedule. We are closed on University holidays which includes Christmas Break (2 weeks) and Spring Break (1 week).

Texas Medicaid and Healthcare Partnership TMHP

• TMHP is the contractor with the Texas Health and Human Services Commission (HHSC) that is responsible for medical necessity determinations and for processing fee-for-service Medicaid claims. TMHP maintains the Long Term Care (LTC) Online Portal in which assessments are submitted and retained for a period of 7 years.
• They also conduct periodic LTC training webinars for nursing facilities, hospice, PACE, and community waiver providers. Providers must register for the webinars.
• To access TMHP learning management system, providers must register and obtain a username. Visit Learn TMHP to register.
• Registered users can:
• Review online material
• Listen to or read transcripts of past webinars, and access to written workshop materials.
• The goal of the medical necessity assessment training webinars is to educate community waiver providers, nursing facilities, and hospices providers on their roles and responsibilities. Providers will learn how to:
• - Obtain an LTC Online Portal administrator account.
• - Understand basic LTC Online Portal features.
• - Understand Medical Necessity (MN) and the MN determination process.
• - Submit Medical Necessity and Level of Care (MN/LOC) Assessments.
• - Understand and complete the Long-Term Care Medicaid Information (LTCMI) section.
• - Submit Individual Service Plan (ISP) forms.
• - Understand the provider workflow process.
• - Understand how to correct or inactivate assessments.
• - Understand how to print completed and blank assessments.
• - Identify assessment statuses and how to resolve issues.

Technical Requirements

• A secure connection to the internet, a keyboard and a mouse.
• A working email account, either personal or professional.
• A web browser such as Chrome, Firefox or Safari.
• Adobe Acrobat Reader 4.0 or higher - available free online at Acrobat Reader
• If you have a pop-up blocker on your browser, you may need to turn it off or tell it to allow pop-ups. Firewalls on older model computers could cause issues as well. The department cannot assist with these issues.

Payment Information

• Once you click REGISTER NOW, you will be taken to the registration page. Follow the instructions carefully. Read and click the acknowledgements, then on the final page, make payment.
• The RUG training fee is $40.00
• Payments can be made with credit/debit cards (Visa, MasterCard, American Express or Discover).
• If you complete registration and do not make payment, or vice-versa, you will not be entered into the course until BOTH are completed and received by TXST RUG.