TVFFS Revisions

TVFFS Revisions

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).

25-4, Update

Revision 25-4; Effective Dec. 15, 2025

Section	Title	Change
3200	Abuse and Neglect Reporting	Updates the mandatory reporting requirements.

25-3, Miscellaneous Revisions

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.

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).