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Medicaid Planning · Texas

Texas Medicaid look-back rules

Medicaid look-back rules rules for Texas.

Published: September 4, 2026. Last checked: September 2, 2026.

Look-back period

60 months from the later applicable application, program-transfer, or institutional-entry date

Source: Texas HHS I-2100, Look-Back Policy [state-medicaid-agency] — Revision 13-4 effective December 1, 2013

Transfer-penalty divisor

$262.37 per day

Source: Texas HHS Appendix XXXI, Budget Reference Chart [state-medicaid-agency] — Revision 26-2 effective June 1, 2026; divisor effective September 1, 2025

How the state administers the rule

Transferred value is divided by the average private-pay nursing-facility rate and the resulting period withholds payment for covered long-term-care services.

Source: Texas HHS I-1200, Overview of Transfer of Assets [state-medicaid-agency] — Revision 18-1 effective March 1, 2018 Additional authority: Texas HHS Appendix XXXI, Budget Reference Chart [state-medicaid-agency] — Revision 26-2 effective June 1, 2026; divisor effective September 1, 2025

Sources and update policy

Methodology & sources

Checked at least annually and whenever the state publishes a new transfer-penalty divisor or administration rule.

This page is educational and is not legal advice.