Revision 23-2; Effective Sept. 15, 2023

Section	Title	Change
Handbook	Primary Health Care Services Program Policy Manual	Updates handbook title to Primary Health Care Program Policy Manual.
1100	Contact Information	Removes physical address for courier service and helpline information.
1200	Purpose of Manual	Updates language.
2100	Program Authorization and Services	Updates language.
2200	Definitions	Updates definitions throughout.
3100	Administrative Policies	Updates language. Revises civil rights requirements. Adds requirement to maintain appropriate exterior signage.
3110	Client Access	Updates language.
3120	Important Information for Former Military Service Members	Updates language.
3200	Abuse and Neglect Reporting	Updates language. Revises abuse, neglect and exploitation requirements.
3210	Child Abuse Reporting, Compliance and Monitoring	Updates title to Child Abuse or Neglect and updates language.
3220	Human Trafficking	Updates language.
3230	Domestic and Intimate Partner Violence	Updates language.
3300	Confidentiality	Updates language.
3310	Minors and Confidentiality	Updated link to resource.
3320	Nondiscrimination and Limited English Proficiency (LEP)	Updates language. Adds requirement to display civil rights posters.
3330	Termination of Services	Updates language.
3340	Resolution of Complaints	Updates language.
3350	Research (Human Subject Clearance)	Updates language.
3400	Client Records Management	Updates language.
3500	Personnel Policy and Procedures	Updates language. Revises immunization guidance.
3600	Facilities and Equipment	Updates language. Revises facility requirements.
3610	Hazardous Materials	Updates language.
3620	Fire Safety	Updates language.
3630	Medical Equipment	Updates language.
3640	Radiology Equipment and Standards	No changes
3645	Laboratory Standards	Creates section on laboratory requirements.
3650	Smoking Ban	Updates language.
3660	Disaster Response Plan	Deletes this section and moves information to 3720.
3700	Emergency Responsiveness	Updates language.
3710	Clinical Emergencies	Updates language. Adds Dental Emergency Responsiveness.
3720	Emergency Preparedness	Updates language. Adds Disaster Response Plan.
3800	Quality Management	Updates language. Revises Quality Management requirements.
4100	Eligibility and Assessment of Copay and Fees	Updates language. Adds a process to apply for approval to use an Alternate Eligibility Tool. Added reference to Appendix II.
4200	Client Eligibility Screening Process	Updates language.
4300	Procedures and Terminology When Determining PHC Eligibility	Updates language. Revises potential eligibility and referral requirements. Adds requirement to document special circumstances.
5000	Clinical Guidelines	Updates language. Describes required and additional services that may be provided.
5100	General Consent	Updates language.
5110	Consent for Dental Procedures	Updates language.
5120	Consent for Sterilization Procedures	Updates text.
5130	Texas Medical Disclosure Panel Consent	Updates language.
5140	Consent for Services Provided to Minors	Updates language. Adds resources.
5150	Consent for HIV Tests	Updates title to Consent for Human Immunodeficiency Virus (HIV) Tests. Updates language.
5200	Clinical Policy	Updates language. Defines telehealth services. Includes quit line information. Revises colorectal cancer screening age. Updates links to resources. Revises requirements for appropriate follow-up and continuity of care. Removes duplicate requirement for maintaining 2-1-1 information.
5300	Prescriptive Authority Agreements, Clinical Protocols, Standing Delegation Orders and Client Education	Updates language.
5310	Prescriptive Authority Agreements	Updates title to Prescriptive Authority Agreements (PAAs). Updates language. Revises PAA requirements.
5320	Protocols	Updates language.
5330	Standing Delegation Orders	Updates language. Revises SDO requirements.
5340	Client Education	Updates language. Removes resources.
6000	Reimbursement, Data Collection and Reporting	Updates language.
6100	Reimbursement, Data Collection and Reports	Updates language. Removes information from this section and adds to section 4000.
Forms	Forms	Updates form titles.

Revision 23-1; Effective Mar. 31, 2023

Revised	Title	Change
Appendix II	Optional Co-Pay Table Based on Monthly Federal Poverty Level (FPL)	Updates the co-pay table based on the 2023 monthly Federal Poverty Level (FPL).

Revision 22-4; Effective Sept. 16, 2022

The following change(s) were made:

Revised	Title	Change
1100	Contact Information	Updates Helpline contact information.
3100	Administrative Policies	Includes information for contractors about maintaining clinic information on 2-1-1.
3330	Termination of Services	Revise when and how services can be terminated and the client's right to appeal.
3340	Resolution of Complaints	Updates contact information for client appeal and the process to follow.
4000	Eligibility and Fees	Updates policy for eligibility determination.
4100	Eligibility and Assessment of Co-Pay/Fees	Clarifies when an applicant can appeal and eligibility decision.
4200	Client Eligibility Screening Process	Updates the eligibility determination process.
4300	Procedures and Terminology When Determining PHC Eligibility	Updates the eligibility procedures and terminology.
5000	Clinical Guidelines	Updates the clinical guidelines to reword.
5100	General Consent	Updates the general consent.
5200	Clinical Policy	Updates the clinical policy.
6000	Reimbursement, Data Collection and Reporting	Updates the reimbursement, data collection, and reporting.
6100	Reimbursement	Updates the reimbursement.

Revision 22-3; Effective April 14, 2022

The following change(s) were made:

Revised	Title	Change
Appendix II	Optional Co-Pay Table Based on Monthly Federal Poverty Level (FPL)	Updates the 2022 FPL co-pay amounts effective April 14, 2022.

Revision 22-2; Effective April 8, 2022

The following change(s) were made:

Revised	Title	Change
1100	Contact Information	Revises the Primary Health Care Services Program mailing address ZIP code.
2100	Program Authorization and Services	Updates a link to Texas Administrative Code (TAC).
3330	Termination of Services	Updates a TAC link.
Appendix II	Optional Co-Pay Table Based on Monthly Federal Poverty Level (FPL)	Updates the 2022 FPL co-pay amounts effective March 1, 2022.

Revision 22-1; Effective February 7, 2022

The following change(s) were made:

Revised	Title	Change
1100	Contact Information	Updates the mailing address, physical address for courier service, Helpline extension, phone number, email and website for the Primary Health Care Services Program.

Revision 21-2; Effective September 15, 2021

The following change(s) were made:

Revised	Title	Change
Section 5200	Clinical Policy	Adds pelvic examinations must be administered in compliance with Chapter 167A of the Health and Safety Code, updates links to the 2021 CDC Guidelines and 2021 Morbidity and Mortality Weekly Report Sexually Transmitted Diseases Treatment Guidelines, deletes a reference to the Recommendations for Providing Quality Sexually Diseases Clinical Services, and adds prenatal and postpartum services must be provided based on ACOG or other nationally recognized, evidenced-based services and dental services must be provided based on ADA or other nationally recognized, evidence-based services.