---
title: "Texas Medicaid Look-Back Period | Funding LTC Marketplace"
url: https://fundingltcmarketplace.com/states/texas/medicaid-look-back-period/
description: "Texas's 60-month transfer review, the current $262.37 daily penalty divisor, and why timing a gift without legal advice can delay long-term-care Medicaid."
last_updated: 2026-10-20
author: George A. Mellendorf, CLTC, LTCP (Central States Insurance Services, Inc.)
publisher: Funding LTC Marketplace
note: Educational content; not legal, tax or financial advice. Markdown copy of the HTML page at the URL above.
---
Texas · Look-Back & Penalties

# Texas Medicaid Look-Back Period

Last updated 2026-10-20

HHSC reviews transfers made on or after February 8, 2006 across a 60-month look-back window, measured from either the application file date or the date of a program transfer request. That 60-month rule reached full effect in February 2011 (HHSC look-back policy).

A look-back period isn't a blanket rule that every past payment causes disqualification — it's simply the stretch of time HHSC examines under its transfer-of-assets policy. What actually matters within that window are the specific facts of each transaction: what was transferred, what value was received in exchange, and whether any exception applies (HHSC look-back policy).

## Texas figures

- Look-back period: 60 months
- Transfer penalty divisor: $262.37/day
- Look-back start date for covered transfers: February 8, 2006
- Full effective date of 60-month rule: February 2011

## Sources and official resources

- [Texas HHSC MEPD Handbook: Appendix XII, Nursing Facility and HCBS Waiver Information](https://fhb.hhs.texas.gov/handbooks/medicaid-elderly-people-disabilities-handbook/appendix-xii-nursing-facility-home-community-based-services-waiver-information)
- [U.S. Code: 42 U.S.C. § 1396p (liens, estate recovery, transfers of assets, Partnership disregard)](https://www.law.cornell.edu/uscode/text/42/1396p)

Rules and figures change. Confirm current details with the agency before you act.

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