TVFFS Revisions
26-2, Miscellaneous Revisions
Body
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, Services and Definitions | Updates title to Program Authorization, Services and Definitions. |
| 2100 | Program Authorization and Services | Updates language and links. |
| 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 | Adds new section number. Updates language. |
| 3200 | Abuse and Neglect Reporting | Updates language. |
| 3210 | Child Abuse and Neglect Reporting, Compliance, and Monitoring | Adds new section number. Updates language. Updates mandatory reporting timeframe from 48 hours to 24 hours. |
| 3220 | Human Trafficking | Adds new section number. Updates language and links. Removes the use of screening tool. |
| 3230 | Domestic and Intimate Partner Violence | Adds new section number. Updates language and links. |
| 3300 | Confidentiality | Updates language and links. |
| 3310 | Civil Rights | Removes section. |
| 3310 | Minors and Confidentiality | Adds new section number. Updates language. |
| 3320 | Required Signage | Removes section. |
| 3320 | Civil Rights | Adds section. Updates language. Adds Grant Terms and Conditions. Adds Limited English Proficiency – LEP requirements. |
| 3330 | Complaints and Termination of Services | Removes section. |
| 3330 | Required Signage | Adds section. Updates links. |
| 3340 | Research, Human Subjects | Removes section. |
| 3340 | Termination of Services | Adds section. Updates language. |
| 3350 | Resolution of Complaints | Adds new section number. Updates language. |
| 3360 | Research, Human Subjects Clearance | Moves section to 3360. Updates language. |
| 3400 | Records Management | Updates title to Client Records Management. Updates language and links. |
| 3500 | Personnel Policies and Procedures | Updates language. |
| 3600 | Facilities and Equipment | Updates language. |
| 3610 | Hazardous Materials and Waste | Adds new section number. |
| 3620 | Fire Safety | Adds new section number. Updates language. |
| 3630 | Medical Equipment | Adds new section number. Updates language. |
| 3640 | Radiology Equipment and Standards | Adds new section number. Updates language and links. |
| 3650 | Laboratory Standards | Adds new section number. Updates language. |
| 3660 | Smoking and Vaping Ban | Adds new section number. Updates language. |
| 3700 | Emergency Responsiveness | Updates language. |
| 3710 | Emergency Preparedness | Adds new section. |
| 3800 | Quality Management | Updates language. |
| 3810 | QM Committee | Adds section number. Updates language. |
| 3820 | Comprehensive Quality Work Plan | Adds new section number. |
| 3830 | Quality Assurance Activities | Adds new section number. |
| 3840 | Subrecipient Quality and Compliance | Adds new section number. |
| 3900 | Fiscal Policies and Requirements | Removes section. |
| 4000 | Eligibility and Fees | Updates language. |
| 4100 | Eligibility and Assessment of Co-pay and Fees | Updates language. |
| 4200 | Client Eligibility Screening Process | Adds new section number. Updates language. |
| 4300 | Procedures and Terminology When Determining TVFFS Eligibility | Adds new section number. Updates language and links. |
| 5000 | Clinical Guidelines | Updates language. |
| 5100 | General Consent | Updates language and links. |
| 5200 | Clinical Policy | Updates language and links. |
| 5300 | Perinatal Clinical Guidelines | Updates language and links. Adds links. |
| 5310 | State-Mandated Education. | Updates language and links. |
| 5320 | Initial Prenatal Visit Requirements | Updates language and links. |
| 5330 | Return Prenatal Visits Requirements | Updates language. |
| 5340 | Postpartum Visits Requirements | Updates language. |
| 5350 | Perinatal Dental Services | Updates language. |
| 5400 | Child and Adolescent Clinical Guidelines | Updates language and links. |
| 5410 | Child and Adolescent Dental Services | Updates language. |
| 5500 | Prescriptive Authority Agreements, Clinical Protocols and Standing Delegation Orders | Updates title to Requirements for Advanced Practice Providers. Updates language and links. |
| 5600 | Standing Delegation Orders | Updates title to Standing Orders. Updates language and links. |
| 5700 | Dental Delegation | Adds new section number. Updates language and links. |
| 6000 | Reimbursement, Data Collection and Reporting | Updates language. |
| 6100 | Reimbursement, Data Collection and Reports | Removes section. |
26-1, Updates Appendix II
Body
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). |
25-4, Update
Body
Revision 25-4; Effective Dec. 15, 2025
| Section | Title | Change |
|---|---|---|
| 3200 | Abuse and Neglect Reporting | Updates the mandatory reporting requirements. |
25-3, Miscellaneous Revisions
Body
Revision 25-3; Effective Sept. 1, 2025
| Section | Title | Change |
|---|---|---|
| 1100 | Grant Information | Updates mailing address and website link. |
| 1200 | Purpose of Manual | Updates purpose statement. |
| 2200 | Definitions | Adds new and updates definitions. |
| 3100 | Accessibility | Updates language and links. |
| 3200 | Abuse and Neglect Reporting | Updates language and links. Adds more resources related to human trafficking. |
| 3300 | Confidentiality | Updates language and links. Adds resources related to confidentiality and required postings. |
| 3310 | Civil Rights | Updates language. |
| 3320 | Required Signage | Updates language and links. Adds guidance for human trafficking signage. |
| 3330 | Complaints and Termination of Services | Updates language. |
| 3340 | Research, Human Subjects Clearance | Updates language. |
| 3400 | Records Management | Updates section title and language. |
| 3500 | Personnel Policies and Procedures | Adds new guidance related to personnel qualifications and participation in mandatory HHSC trainings. |
| 3600 | Facilities and Equipment | Adds new guidance about medication and medical supply storage. Updates links. |
| 3700 | Emergency Responsiveness | Updates language and links. |
| 3800 | Quality Management | Updates language. |
| 3900 | Fiscal Policies and Requirements | Adds new section about financial management systems. |
| 4100 | Eligibility and Assessment of Co-pay and Fees | Updates language throughout to clarify and adds new links. Simplifies guidance about household and family composition. Adds new instruction on calculation of Federal Poverty Limits (FPLs). Adds new limits on presumptive eligibility periods. |
| 5100 | General Consent | Updates language and links. |
| 5200 | Clinical Policy | Updates language and links. |
| 5300 | Perinatal Clinical Guidelines | Updates screening requirements for anxiety, depression and substance use disorders. |
| 5310 | Initial Prenatal Visit Requirements | Changes section title to State-Mandated Education and adds new content. |
| 5320 | Initial Prenatal Visit Requirements | Previously section 5310. |
| 5330 | Return Prenatal Visits Requirements | Previously section 5320. |
| 5340 | Postpartum Visits Requirements | Previously section 5330. |
| 5350 | Perinatal Dental Services | Previously section 5340. |
| 5400 | Child and Adolescent Clinical Guidelines | Updates language and links. Provides new resources for clinical guidance. |
| 5410 | Child and Adolescent Dental Services | Updates language. |
| 5500 | Prescriptive Authority Agreements, Clinical Protocols and Standing Delegation Orders | Updates language to align with statute. Corrects links. |