Relating to presumptive eligibility of certain individuals for nursing facility care under Medicaid.

HB 3910 creates a temporary Medicaid eligibility process for individuals needing nursing facility care in Texas. It allows the state Medicaid agency to grant presumptive eligibility for up to 90 days while a final determination is made, requiring nursing facilities to use a screening tool to assess medical necessity and likely eligibility. Applicants must sign a written agreement confirming the accuracy of their information and acknowledging the temporary nature of benefits. The bill mandates a final eligibility decision within 45 days, with retroactive reimbursement to facilities if the state misses this deadline. This directly affects seniors or disabled individuals seeking nursing care and the facilities providing those services.