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Resource Utilization Group (RUG) Training

Next Scheduled Office Closing

The Office of Distance and Extended Learning will be closed on September 7th for Labor Day.

IMPORTANT:  During office closures, new registrations and course completions may not be processed until the office reopens.

Click here to register for RUG training.

The Texas Health and Human Services Commission's Office of Inspector General provides training to Medicaid providers, contractors, their employees, and staff from other state agencies that are involved in the administration of health and human services.

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 through the Continuing Education's online course program.

Nurses must complete RUG training every two years to be able to submit forms for Texas Medicaid payments.


Connection to the Internet

A working email account - paid Internet providers or free Internet providers (i.e., Yahoo or Hotmail)

A web browser such as Firefox or Internet Explorer 6.0 or higher – must accommodate and allow security settings that enable Javascript and Java

Adobe Acrobat Reader 4.0 or higher - free Acrobat Reader can be downloaded from the following URL:

If you have a pop-up blocker on your browser, you may need to turn it off or tell it to allow pop-ups. Another problem could be the firewall on the computer. This problem will have to be taken care of by your computer technician.



Fill out the online application in it’s entirety (incomplete applications cannot be processed) and click on the submit button at the bottom of the page. Be especially careful when entering your email address, as it will be used to send your username and password to access the training materials, and where we will send your verification of completion of the training.

You can click here to access the online registration form or on the link at the top of this page.  A registration form needs to be submitted for each person taking the training.



Within 5-7 business days your registration will be processed and you will receive an email with your user name, password and the link to the training. Please contact our office if you have questions. Do not contact TRACS.

Quite often emails are caught in junk mail / spam folders. Be sure to check these locations before contacting our office.

We are unable to rush registrations.  We suggest allowing ample time for any problems that might occur with your application, payment, internet provider, personal timing issues in completing training, and receipt of acknowledgement of completion.



The training fee is $40.00.

IMPORTANT NOTE:  There are no refunds for RUG Training.

Payments can be made with a personal or company check; money order/cashier’s check or credit card (Visa, MasterCard, American Express or Discover).

ONLINE PAYMENTS- After submitting an online application, a page will pop up with a link to the online payment site. In the box for the "Applicant Name(s)" you will be allowed to enter up to 10 names. (NOTE: - this is for payment information only - this does not count as an application - each person taking the training will need to submit an individual application). Enter the name(s) of the person(s) taking the training as the applicant(s) in order for us to be able to match the payment with the name on the actual application. Later during the process you will need to enter a name for "Billing Information". At that point in the process, enter the name of the person or entity paying for the training.  You will receive an email confirmation of payment.  If you are unsure if your payment went through, please call us before attempting to pay again.

Please call (512) 245-7118 (M-F, 8-5) if you need assistance with the online payment process.

Mail payments to:
Texas State University
Office of Distance and Extended Learning
ASBN 302
601 University Drive
San Marcos, TX 78666

Please be sure to include the name(s) of the applicant(s), their licence number(s) and a phone number with this correspondence.

Once payment has been received, it will be matched up with the application for processing. 

Receipts are not automatically sent out, but can be emailed upon request.

How to Log In Once Enrolled

Go to http://www.txstate.edu/continuinged (we suggest book marking this page)

Click on TRACS link

Enter your username and password

Click on LOGIN – this will open the “My Workspace” page.

How To Access Training Modules

From the My Workspace Page, click on the NURSING FACILITIES or COMMUNITY SERVICES box found at the top of the page (to the right of the My Workspace box; above the Message of the Day).

This will take you to the home page for the training you are taking. Information on how to navigate the site is found here.

Disregard the Start/End dates in the Table of Contents and the Due Date in Assessments.


What Happens when Training is Completed?

After completing the training, you will be sent an email indicating as such. This email is your acknowledgement of completion. We suggest printing several copies; one of which should be kept on file at your facility.

If you are interested in keeping a copy of the results of your learning checks, print out the Assessments page once you have completed the training. Texas State and HHSC will not track this information.

You will be removed from the online course within a week or so of completion.

We also encourage you to fill out and submit the course evaluation. From the My Workspace page, click on the Nursing tab and click on Learning Checks. Scroll down and you will find the evaluation link just below the list of assessments.

Important Information

This training may take up to two hours to complete. You have 90 days to complete the training.

Training must be repeated every two years. If training requirements are not met, assessment submissions are not allowed.

If your license number changes, we must be notified so the database can be updated. Fax or email a written request asking your license number be changed. Include in the written request the old license number that is to be deleted and the new license number that is to be added. Fax the request to (512) 245-8934 or email it to rugs-ce@txstate.edu. Written requests will be kept on file and the report to TMHP will be adjusted to reflect the change.

This program operates on the Texas State University schedule. We are closed on University holidays and services are limited during Christmas Break (2 weeks) and Spring Break (1 week). Holidays will be posted on the Worksite Information page of your course.


Additional Fees

The University assesses a returned check fee for insufficient funds. 

Replacement certificate of completion - $5.00.  If you do not receive your certificate via email, you must contact us within 30 days of completion, or you will need to pay the replacement fee.

To complete a RUG Training replacement certificate request form, CLICK HERE

Transfer fee - $5.00 - course to course or person to person.  To complete a RUG Training transfer request form, CLICK HERE.



The Texas Health and Human Services Commission - OIG




Corrective Action   512-491-1750
Nursing Facility Questions and Information 512-491-1750
DADS Community Service Questions and Information 512-438-2200, Main #


Completing the MN/LOC Assessment

Contact Allison Moss @

 CBA Completing the MN/LOC Assessment Contact your DADS Regional Nurse
CBA MN determination & RUG questions Contact TMHP
MDCP Completing the MN/LOC Assessment Contact the DADS State Office Nurse at 512-438-5837
MDCP MN Determination & RUG questions Contact TMHP
PACE RUG questions 512-438-2013

The Texas Medicaid & Healthcare Partnership (TMHP)

TMHP is the contractor with the Texas Health and Human Services Commission (HHSC) that is responsible for processing Medicaid claims and the Medicaid primary care case management services program. TMHP maintains the LTC Portal in which assessments are submitted and retained for a period of 5 years.

They also conduct LTC RUG Workshops for Community Waiver Providers and LTC RUG/MDS NF/Hospice Provider Workshops. These workshops are not the same as the online training. The workshops are free. Providers must register for the workshops. You can register online at TMHP's website at www.tmhp.com - select "Register for a Workshop" from the "I would like to...." links. The goal of these workshops is to provide an overview of the conversion; highlight the new rules and various changes; inform providers about how TILE values will be transitioned to RUG values; teach providers how to submit the new Medical Necessity and Level of Care Assessment; and to educate community waiver providers, nursing facilities and hospices on their roles and responsibilities.

Medical Necessity and Level of Care

MDS Assessment Submission

TMHP LTC Online Portal www.tmhp.com




Texas State University - Continuing Education

Texas State University is the contractor with the Texas Health and Human Services Commission, Office of Inspector General, and administers the Medical Necessity and Level of Care Assessment web based training.

Texas State University

Office of Distance and Extended Learning
ASBN 302

601 University Drive
San Marcos, TX 78666
Telephone: (512) 245-7118 (M-F, 8-5)
Fax: (512) 245-8934

Email: rugs-ce@txstate.edu