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Family Planning Program Policy Manual

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Family Planning Program Policy Manual

  • Section 1000, Program Authorization and Services
  • Section 2000, Client Access
  • Section 3000, Abuse and Neglect Reporting
  • Section 4000, Client Rights
  • Section 5000, Client Records Management
  • Section 6000, Personnel Policy and Procedures
  • Section 7000, Facilities and Equipment
  • Section 8000, Quality Management
  • Section 9000, Pharmacy
  • Section 10000, Eligibility and Assessment of Co-pay and Fees
  • Section 11000, Consent
  • Section 12000, Clinical Policy
  • Section 13000, Program Promotion and Outreach
  • Section 14000, Medicaid Provider Enrollment
  • Section 15000, Required Reports
  • Appendices
  • Forms
  • Policy Revisions
  • Contact Us
  • Printer-friendly version

 

Section 1000 Program Authorization and Services

  • 1100 Purpose and Program Background
    • 1110 Purpose of FPP Policy Manual
  • 1200 Definitions
  • 1300 Acronyms

Section 2000, Client Access

Section 3000, Abuse and Neglect Reporting

  • 3100 Child Abuse Reporting, Compliance and Monitoring
  • 3200 Member Reassessment
  • 3300 Human Trafficking

Section 4000, Client Rights

  • 4100 Confidentiality
    • 4110 Minors and Confidentiality
  • 4200 Nondiscrimination and Limited English Proficiency
    • 4210 Contract Terms and Conditions
  • 4300 Important Information for Former Military Service Members
  • 4400 Termination of Services
  • 4500 Resolution of Complaints
  • 4600 Freedom of Choice
  • 4700 Research (Human Subject Clearance)

Section 5000, Client Records Management

Section 6000, Personnel Policy and Procedures

Section 7000, Facilities and Equipment

Section 8000, Quality Management

Section 9000, Pharmacy

Section 10000, Eligibility and Assessment of Co-pay and Fees

  • 10100 Client Eligibility Screening Process
    • 10110 Screening for Medicaid
    • 10120 Screening for HTW
    • 10130 Screening for and Determining FPP Eligibility
  • 10200 Adjunctive Eligibility
  • 10300 Calculation of Applicant’s Federal Poverty Level Percentage
  • 10400 Client Fees, Co-pays and Guidelines
  • 10500 Continuation of Services

Section 11000, Consent

  • 11100 General Consent
  • 11200 Program Specific Informed Consent
    • 11210 Sterilization Procedures and Sterilization Consent Form
    • 11220 Texas Medical Disclosure Panel Consent
  • 11300 Consent for Services to Minors
  • 11400 Consent for HIV Tests

Section 12000, Clinical Policy

  • 12100 Covered Services
    • 12110 Requirement for Documentation of Reproductive Health Services
      • 12111 Individual Health Records and Documentation of Encounters
    • 12120 Initial Clinical Visit
      • 12121 Annual Comprehensive Family Planning Visit, Physical Examination and
        Testing
      • 12122 Counseling and Education
    • 12130 Requirements for Policies to Ensure Appropriate Follow-up and Continuity of Care
      • 12131 Problem Visits
      • 12132 Referrals
      • 12133 Prescriptive Authority Agreements
      • 12134 Standing Delegation Orders
    • 12140 References
  • 12200 Family Planning and Contraceptive Services
    • 12210 Reproductive Life Plan
    • 12220 Contraceptive Counseling and Education
      • 12221 Relative Method Effectiveness
      • 12222 Long-Acting Reversible Contraceptive (LARC) Methods
        • 12222.1 Consent for Sterilization
        • 12222.2 Specific Method Access Requirements for Contractors
      • 12223 Contraceptive Methods that May Be Provided by Referral
      • 12224 References and Resources
    • 12230 Preconception Services
      • 12231 References and Resources
  • 12300 Screenings
    • 12310 Cervical Cancer Screening
      • 12311 Screening Frequency and Response to Abnormal Findings
      • 12312 References
    • 12320 Breast Cancer Screening
      • 12321 Screening Frequency
      • 12322 Follow-up and Referral for Treatment
      • 12323 References and Resources
    • 12330 Sexually Transmitted Disease/Infection (STD/STI) Screening and Treatment
      • 12331 HIV Screening
      • 12332 Chlamydia and Gonorrhea Testing
      • 12333 Herpes Simplex Virus (HSV) Screening
      • 12334 Syphilis Screening (Men and Nonpregnant Women)
      • 12335 Other Screening and Pregnant Women
      • 12336 Patient-Delivered Partner Therapy (PDPT)
      • 12337 References
    • 12340 Diabetes Mellitus Screening
      • 12341 Diagnostic Criteria
      • 12342 References and Resources
    • 12350 Hypertension Screening
      • 12351 References and Resources
    • 12360 High Cholesterol Screening
      • 12361 Evaluation of Screening Results
      • 12362 References and Resources
    • 12370 Postpartum Depression Screening
      • 12371 Referral for Treatment
      • 12372 References and Resources
    • 12380 Suicide Risk Screening
  • 12400 Healthy Lifestyle Intervention
    • 12410 References and Information
  • 12500 Perinatal Clinical Policy
    • 12510 Perinatal Histories
    • 12520 Physical Assessments
    • 12530 Laboratory and Diagnostic Tests
      • 12531 ACOG/ACS/ASCP Cervical Cancer Screening Guidelines
      • 12532 Return Prenatal Visits Lab and Diagnostic Tests
      • 12533 Ultrasounds
      • 12534 Repeat D Antibody Test
      • 12535 Special Procedures
    • 12540 Education and Counseling Services
      • 12541 Referral and Follow-up

Section 13000, Program Promotion and Outreach

Section 14000, Medicaid Provider Enrollment

  • 14100 Provider Identifiers
  • 14200 Reimbursement for Family Planning Services
    • 14210 Categorical Reimbursement
    • 14220 Fee-for-Service Reimbursement
  • 14300 HHSC FPP Reimbursable Codes
    • 14310 Medroxyprogesterone Acetate Injection
  • 14400 Electronic Claims Submission
    • 14410 HTW Claims Pending Eligibility Determination
  • 14500 Sterilization Billing and Reporting
    • 14510 Sterilization Consent Form
    • 14520 Sterilization Complications
  • 14600 IUD and Contraceptive Implant Complications
  • 14700 Retroactive Eligibility
  • 14800 Claims Submitted with Laboratory Services
    • 14810 Patient Co-pays
  • 14900 Donations

Section 15000, Required Reports

  • Section 1000, Program Authorization and Services
  • Section 2000, Client Access
  • Section 3000, Abuse and Neglect Reporting
  • Section 4000, Client Rights
  • Section 5000, Client Records Management
  • Section 6000, Personnel Policy and Procedures
  • Section 7000, Facilities and Equipment
  • Section 8000, Quality Management
  • Section 9000, Pharmacy
  • Section 10000, Eligibility and Assessment of Co-pay and Fees
  • Section 11000, Consent
  • Section 12000, Clinical Policy
  • Section 13000, Program Promotion and Outreach
  • Section 14000, Medicaid Provider Enrollment
  • Section 15000, Required Reports
  • Appendices
  • Forms
  • Policy Revisions
  • Contact Us
Section 1000, Program Authorization and Services ›

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