26-1, Updates Section 4300 and Appendix II

Body

Revision 26-1; Effective March 1, 2026

The following changes(s) were made:

SectionTitleChange
4300Procedures and Terminology When Determining Epilepsy EligibilityUpdates Documentation of Residency and Calculation of Applicant’s Federal Poverty Level (FPL) Percentage tables with calendar year 2026 changes.
Appendix IIOptional Copay Table Based on Monthly Federal Poverty Level (FPL)Updates title to Optional Co-pay Table Based on Monthly Federal Poverty Level (FPL). Updates appendix with calendar year 2026 FPL for program eligibility.

25-2, Updates Section 4300 and Appendix II

Body

Revision 25-2; Effective March 1, 2024

The following changes(s) were made:

SectionTitleChange
4300Procedures and Terminology When Determining Epilepsy EligibilityUpdates Documentation of Residency and Calculation of Applicant’s Federal Poverty Level (FPL) Percentage tables with calendar year 2025 changes
Appendix IIOptional Copay Table Based on Monthly Federal Poverty Level (FPL)Updates appendix with calendar year 2025 Federal Poverty Level for program eligibility.

25-1, Updates Miscellaneous Sections and Form 3094

Body

Revision 25-1; Effective Feb. 24, 2025

The following changes(s) were made:

SectionTitleChange
1100Contact InformationUpdates link to SharePoint Contractor Portal.
2100Program Authorization and ServicesClarifies content for Funding Sources.
3100Administrative Policies

Updates:

  • subsection 3110 Maintaining Clinic Information on 2-1-1, and
  • subsection 3130 Important Information for Former Military Service Members.
3200Abuse and Neglect ReportingReplaces link to Texas Family Code PDF with link to website.
3300Confidentiality

Updates:

  • link to U.S. Health Insurance Portability and Accountability Act of 1996 (HIPAA), and
  • subsection 3310 with link to HHSC Requirements for Contractors.
3600Facilities and EquipmentUpdates subsection 3640 Radiology Equipment and Standards to add link to DSHS Radiation Control.
4200Client Eligibility Screening ProcessClarifies Texas Administrative Code
6100Reimbursement, Data Collection and ReportsClarifies content.
Appendix IEpilepsy Program Definition of IncomeClarifies content.

Forms

The following forms were revised in the Epilepsy Program Policy Manual:

Form No.TitleChange
Form 3094Application for Program BenefitsUpdates Application for Program Benefits.