23-4, Miscellaneous Revisions

Revision 23-4; Effective Nov. 17, 2023

The following changes(s) were made:

RevisedTitleChange
1100Contact InformationUpdates language. Removes physical address for courier service.
2100Program Authorization and ServicesUpdates language.
2200DefinitionsUpdates definitions throughout.
3100Client AccessUpdates language.
3200Former Military Service Members Updates language.
3300Abuse and Neglect ReportingUpdates language. Adds situations to call the Texas Abuse Hotline.
3310Child Abuse Reporting, Compliance, and MonitoringUpdates language.
3320Human TraffickingUpdates language.
3330Domestic and Intimate Partner ViolenceUpdates language.
3400ConfidentialityUpdates language.
3500Nondiscrimination and Limited English ProficiencyUpdates language. Revises hyperlinks. Adds regulations for compliance. 
3610Resolution of ComplaintsUpdates language.
3620Termination of ServicesUpdates language.
3630Freedom of ChoiceUpdates language.
3640Research (Human Subject Clearance)Updates language.
3700Client Records ManagementUpdates language.
3810Personnel Policy and ProceduresUpdates language.
3820Facilities and EquipmentUpdates and revises language. Adds language to Disaster Response Plan.
3900Quality ManagementUpdates language. Revises Quality Management program requirements. 
4000Eligibility and Assessment of Copay and FeesUpdates language.
4100Client Eligibility Screening ProcessUpdates language.
4120Screening for HTWUpdates language.
4130Screening for and Determining FPP EligibilityUpdates language.
4140Adjunctive Income Eligibility and Calculation of Applicant IncomeUpdates language. Adds Medicaid for Pregnant Women and CHIP Perinatal as adjunctive income eligibility programs. Revises eligibility verification documentations. Adds documentation for proof of income.
4200Client Fees, Copays and GuidelinesUpdates language. Adds Client Responsibility for Reporting Changes. 
4300Continuation of ServicesUpdates language.
5000Clinical GuidelinesUpdates language.
5100Minors, Consent and ConfidentialityUpdates language.
5200General ConsentUpdates language.
5210Texas Medical Disclosure Panel (TMPD)Updates language.
5220Consent for HIV TestsUpdates language.
5300PharmacyUpdates language. Adds requirement to notify HHSC on clinic pharmacy status. 
5400Client Health Records and Documentation of EncountersUpdates language.
5500Covered ServicesUpdates language.
5510Requirements for Policies to Ensure Appropriate Follow-up and Continuity of CareUpdates language.
5530ReferralsUpdates language. Incorporates information previously in 5540 and 5550. 
5540Prescriptive Authority Agreements Section removed. Contents updated moved to section 5530. 
5550Standing Delegation OrdersSection removed. Contents updated and moved to section 5530.
5600Family Planning and Contraceptive ServicesUpdates language. Removes six steps approach for contraceptive counseling. Removes Relative Method Effectiveness. Revises information on requirements for  patient access methods. Revises references.
5610Preconception ServicesRevises and updates language. Revises references and resources. 
5620Sterilization Procedures, Consent, Billing, and ReportingUpdates language. Removes required 15 percent cap on sterilization expenditures. Adds references. 
5710Cervical Cancer ScreeningUpdates language. Revises general considerations for cervical cancer screening and adds components of screening. Removes references and resources from section.
5720Breast Cancer ScreeningRevises risk screening and individual counseling information. Revises information on frequency and components of breast cancer screening. Updates language and removes references and resources from section. 
5730Sexually Transmitted Disease and Infection (STD and STI) Screening and TreatmentUpdates language. Removes information on Patient Delivered Partnered Therapy and adds information on Expedited Partner Therapy. Revises references.
5740Diabetes Mellitus Screening and TreatmentAdds diabetes treatment requirements. Removes information on who should be screened for diabetes, risk factors and diagnostic criteria. Revises listed references. 
5750Hypertension Screening and TreatmentAdds hypertension treatment requirements. Removes information for classification of blood pressure, diagnosis of hypertension, and instructions for home blood pressure monitoring. Removes information on nonpharmacological intervention for elevated blood pressure. Revises references and resources.
5760High Cholesterol Screening and TreatmentAdds high cholesterol treatment requirements. Removes information on screening for high cholesterol. Revises References and Resources. 
5770Postpartum Depression Screening and TreatmentRemoves information on risk factors and adds treatment requirements for postpartum depression. Revises referral requirements. Removes service coding. Revises references and resources.
5780Suicide Risk ScreeningRemoves section. 
5800Healthful Lifestyle InterventionUpdates language. Revises smoking and tobacco use guidelines. Removes resources.
5900Perinatal Clinical PolicyUpdates Language. Removes information on prenatal and return visit screenings, perinatal histories and laboratory and diagnostic testing. Removes education and counseling information. 
Revises tobacco assessment and Quitline referral section. Adds required information for parents of infants and children and adds required information about umbilical cord blood donation.
6000Program Promotion, Outreach, and InreachRevises section title. Updates language. Removes form 1080 and form 1060 requirements and submission schedule. Adds biannual promotion and outreach survey requirement and schedule. Adds guidance for promotion and outreach.
7000Medicaid Provider Enrollment Revises section. Updates language. 
7100Reimbursement for HHSC Family Planning ServicesUpdates language. Revises section subheadings. Revises budget section. Revises HTW Claims Pending Eligibility Determination requirements. Removes Performing Provider Number and Retroactive Eligibility information. 
8000Required Forms and ReportsUpdates language. Replaces form 1080 requirement with Promotion and Outreach Annual Plan. Replaces Form 1060 requirement with Promotion and Outreach Bi-Annual Survey.
FormsFormsRemoves Forms 1060 and 1080. Adds Form 1065.

23-3, Section 9000 Revised

Revision 23-3; Effective Sept. 5, 2023

The following changes(s) were made:

RevisedTitleChange
9000ResourcesUpdates the Reimbursable Codes for the Texas Health and Human Services Commission Family Planning Program

23-2, Section 9000 Revised

Revision 23-2; Effective Mar. 31, 2023

The following changes(s) were made:

RevisedTitleChange
9000ResourcesUpdates the Optional Co-Pay Table Based on Monthly Federal Poverty Level (FPL) for the Texas Health and Human Services Commission Family Planning Program

23-1, Section 9000 Revised

Revision 23-1; Effective Mar. 1, 2023

The following changes(s) were made:

RevisedTitleChange
9000ResourcesUpdates the Reimbursable Codes for the Texas Health and Human Services Commission 
Family Planning Program