PHCPM Revisions

26-2, Miscellaneous Revisions

Revision 26-2; Effective Sept. 1, 2026

Section	Title	Change
1000	Contact Information and Purpose	Updates title to Program Contact Information and Purpose of Manual.
1100	Contact Information	Updates title to Program Contact Information.
1200	Purpose of the Manual	Updates language.
2000	Program Authorization and Services	Updates title to Program Authorization, Services and Definitions.
2100	Program Authorization and Services	Updates language.
2200	Definitions	Updates language. Adds definitions for AEST, Applicant and Service Member. Removes Diagnosis and Treatment, Provider and Recertification.
3000	Administrative Policy	Updates language.
3100	Accessibility	Updates language. Updates instructions for Maintaining Clinic Information on 2-1-1.
3110	Client Access	Updates language.
3200	Abuse and Neglect Reporting	Updates language.
3210	Child Abuse Reporting, Compliance and Monitoring	Updates title to Child Abuse and Neglect Reporting, Compliance and Monitoring. Updates language. Updates mandatory reporting timeframe from 48 hours to 24 hours.
3220	Human Trafficking	Updates language and links. Removes use of screening tool.
3230	Domestic and Intimate Partner Violence	Updates language and links.
3300	Confidentiality	Updates language and links.
3310	Minors and Confidentiality	Updates language.
3320	Civil Rights	Updates language. Adds Grant Terms and Conditions. Adds Limited English Proficiency – LEP requirements.
3330	Required Signage	Updates links.
3340	Termination of Services	Updates language.
3350	Resolution of Complaints	Updates language.
3360	Research (Human Subject Clearance)	Updates title to Research, Human Subject Clearance. Updates language.
3400	Client Records Management	Updates language and links.
3500	Personnel Policy and Procedures	Updates title to Personnel Policies and Procedures. Updates language.
3600	Facilities and Equipment	Updates language.
3610	Hazardous Materials	Updates title to Hazardous Materials and Waste. Updates language.
3620	Fire Safety	Updates language.
3630	Medical Equipment	Updates language.
3640	Radiology Equipment and Standards	Updates language and links.
3645	Laboratory Standards	Updates language.
3650	Smoking Ban	Updates title to Smoking and Vaping Ban.
3700	Emergency Responsiveness	Updates language. Combines Medical Emergencies and Dental Emergencies.
3710	Clinical Emergencies	Changes title to Emergency Preparedness. Updates language.
3800	Quality Management	Updates language.
3810	QM Committee	New section added. Updates language.
3820	Comprehensive Quality Work Plan	New section added.
3830	Quality Assurance Activities	New section added.
3840	Subrecipient Quality and Compliance	New section added.
4000	Eligibility and Fees	Updates language.
4100	Eligibility and Assessment of Co-pay and Fees	Updates language.
4200	Client Eligibility Screening Process	Updates language. Removes Residency as self-declared.
4300	Procedures and Terminology When Determining PHC Eligibility	Updates language and links.
5000	Clinical Guidelines	Updates language.
5100	General Consent	Updates language.
5110	Consent for Dental Procedures	Updates language.
5120	Consent for Sterilization Procedures	Updates language.
5130	Texas Medical Disclosure Panel Consent	Updates language and links.
5140	Consent for Services Provided to Minors	Updates language.
5150	Consent for HIV Tests	Updates language and links.
5200	Clinical Policy	Updates language and links. Removes Physician Services, Physician Assistant (PA) Services and Advanced Practice Nurse (APN) Services from Diagnosis and Treatment.
5300	Prescriptive Authority Agreements, Clinical Protocols, Standing Delegation Orders and Client Education	Updates title to Prescriptive Authority Agreements, Protocols, Standing Orders and Client Education. Updates language. Changes SDOs to SOs.
5310	Prescriptive Authority Agreements	Updates languages and links.
5320	Protocols	Updates language and links.
5330	Standing Delegation Orders	Updates title to Standing Orders. Updates language and links.
5340	Client Education	Removes section.
6000	Reimbursement, Data Collection and Reporting	Updates language. Adds text from 6100. Updates Monthly Service Reports instructions. Removes use of outdated Form 225.
6100	Reimbursement, Data Collection, and Reports	Removes section.

Forms

The following forms were revised in the Primary Health Care Program Policy Manual:

Form No.	Title	Change
Form 3029	Application for Program Benefits	Updates form. Updates Service Members section.

26-1, Updates Appendix II

Revision 26-1; Effective March 1, 2026

Section	Title	Change
Appendix II	Optional Co-Pay Table Based on Monthly Federal Poverty Level (FPL)	Updates Optional Co-Pay Table Based on Monthly Federal Poverty Level (FPL).

25-3, Miscellaneous Revisions

Revision 25-3; Effective Nov. 14, 2025

Section	Title	Change
1100	Contact Information	Updates mailing address.
1200	Purpose of the Manual	Updates text.
2100	Program Authorization and Services	Updates text.
2200	Definitions	Adds information about adjusted gross household income, gross household income and vision care or vision services.
3000	Administrative Policy	Updates text.
3100	Accessibility	Updates text.
3200	Abuse and Neglect Reporting	Updates text.
3210	Child Abuse Reporting, Compliance and Monitoring	Updates required reporting time frame.
3220	Human Trafficking	Updates text.
3230	Domestic and Intimate Partner Violence	Updates text and links.
3300	Confidentiality	Updates text.
3330	Required Signage	Updates links and text.
3340	Termination of Services	Updates links and text.
3350	Resolution of Complaints	Updates text.
3360	Research (Human Subject Clearance)	Updates text.
3400	Client Records Management	Changes title to Records Management. Updates text.
3500	Personnel Policy and Procedures	Updates text.
3600	Facilities and Equipment	Updates text.
3630	Medical Equipment	Updates text.
3640	Radiology Equipment and Standards	Updates links and text.
3710	Clinical Emergencies	Updates text.
3720	Emergency Preparedness	Updates text.
3800	Quality Management	Updates text.
4100	Eligibility Policy and Forms	Updates text.
4200	Client Eligibility Screening Process	Updates text.
4300	Procedures and Terminology When Determining PHC Eligibility	Updates links and text.
5000	Clinical Guidelines	Updates text.
5110	Consent for Dental Procedures	Updates links and text.
5130	Texas Medical Disclosure Panel Consent	Updates links and text.
5200	Clinical Policy	Updates links and text.
5310	Prescriptive Authority Agreements	Updates text.
5320	Protocols	Updates text.
5330	Standing Delegation Orders	Updates text.
6100	Reimbursement, Data Collection, and Reports	Updates text.

Forms

The following forms were revised in the Primary Health Care Program Policy Manual.

Form No.	Title	Change
Form 3029 and Instructions	Application for Program Benefits	Updates text.

25-2, Updates Appendix II

Revision 25-2; Effective March 25, 2025

Section	Title	Change
Appendix II	Optional Co-Pay Table Based on Monthly Federal Poverty Level (FPL)	Updates Optional Co-Pay Table Based on Monthly Federal Poverty Level (FPL).

PHCPM Revisions

26-2, Miscellaneous Revisions

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Forms

26-1, Updates Appendix II

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25-3, Miscellaneous Revisions

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Forms

25-2, Updates Appendix II

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