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TITLE 1 - ADMINISTRATION
PART 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 382 - WOMEN'S HEALTH SERVICES
SUBCHAPTER B - FAMILY PLANNING PROGRAM
SECTION/RULE §382.113 - Covered and Non-covered Services
Chapter Review Date 05/24/2024

(a) Covered services provided through FPP include:(1) contraceptive services;(2) pregnancy testing and counseling;(3) preconception health screenings for:(A) obesity;(B) hypertension;(C) diabetes;(D) cholesterol;(E) smoking; and(F) mental health;(4) sexually transmitted infection (STI) services;(5) limited pharmacological treatment for the following chronic conditions:(A) hypertension;(B) diabetes; and(C) high cholesterol;(6) breast and cervical cancer screening and diagnostic services:(A) radiological procedures including mammograms;(B) screening and diagnosis of breast cancer; and(C) diagnosis and treatment of cervical dysplasia;(7) immunizations;(8) limited pharmacological treatment for postpartum depression;(9) health history and physical exam;(10) mental health counseling/treatment, including:(A) individual, family, and group psychotherapy services; and(B) psychological testing administration and evaluation;(11) health behavior intervention, including:(A) screening, brief intervention, and referral for treatment;(B) smoking cessation services; and(C) medication-assisted treatment;(12) cardiovascular and coronary condition management, including:(A) cardiovascular evaluation imaging and laboratory studies;(B) blood pressure monitoring equipment; and(C) antihypertensive medications; and(13) diabetes management, including:(A) laboratory studies;(B) additional injectable insulin options; and(C) blood glucose testing supplies.(b) Non-covered services in FPP include:(1) counseling on and provision of abortion services; and(2) other services that cannot be appropriately billed with a permissible procedure code.

Source Note: The provisions of this §382.113 adopted to be effective July 1, 2016, 41 TexReg 4630; amended to be effective May 16, 2024, 49 TexReg 3199.

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