BCCS Revisions
26-3, Miscellaneous Revisions
Body
Revision 26-3; Effective Sept. 1, 2026
| Section | Title | Change |
|---|---|---|
| 1230 | Definitions | Updates language and good faith effort definition. Adds service member. |
| 1240 | Acronyms | Updates SDO to SO. |
| 2100 | Client Access | Updates language. |
| 2200 | Abuse and Neglect Reporting | Combines Reporting an Emergency and Reporting a Suspicion of Abuse, updates language. |
| 2210 | Human Trafficking | Adds links to Texas Occupations Code, removes use of screening tool, updates resources. |
| 2220 | Domestic and Intimate Partner Violence (IPV) | Updates title to Domestic and Intimate Partner Violence, language and links. Adds income verification exception for clients who experience IPV. Adds National Domestic Violence Hotline contact information. |
| 2310 | Confidentiality | Updates language. |
| 2320 | Nondiscrimination and Limited English Proficiency | Updates language. |
| 2330 | Termination of Services | Updates language. |
| 2340 | Resolution of Complaints | Updates language. |
| 2350 | Reserved for Future Use | Updates title to Freedom of Choice and adds text from previous 2360. |
| 2360 | Freedom of Choice | Updates title to Research, Human Subject Clearance. Adds text from previous 2370, updates language. |
| 2370 | Research (Human Subject Clearance) | Deletes section, moves text to 2360. |
| 2400 | Consent | Updates title to General Consent, adds information on obtaining verbal consent, updates language. Adds spousal consent information previously in 2310. |
| 2410 | Texas Medical Disclosure Panel Consent | Updates title to Texas Medical Disclosure Panel Informed Consent and updates language. |
| 2500 | Record Management | Updates language. |
| 2510 | Personnel Policy and Procedures | Adds information on required licensure and certification, updates language and webinar attendance requirements. |
| 2610 | Facilities and Equipment | Updates language in Hazardous Materials and Waste and throughout section. |
| 2700 | Quality Management | Updates language, moves information on QM Committee to section 2710. |
| 2710 | Quality Management (QM) Committee | Updates title to QM Committee. Adds information previously in 2700, updates language. |
| 2720 | Comprehensive Quality Work Plan | Adds annual review requirement. |
| 2730 | Quality Assurance Activities | Updates language. |
| 2740 | Subrecipient Quality and Compliance | Updates language. |
| 2810 | Fee-for-Service Reimbursement | Updates language. |
| 2820 | Cost Reimbursement | Adds Administrative Fringe and Indirect Cost to list of optional categories, and note on indirect costs. Updates link to FSR. Removes data management form. Updates link to Texas Grant Management Standards. Updates language. |
| 3210 | Eligibility Guidelines | Updates language, removes veteran language. |
| 3220 | Applying for Services | Adds Former Military Service Members section. Updates language in Household section. Adds separate section for AEST. |
| 3250 | Fees | Updates language to clarify program copay policy. |
| 3270 | Med-IT® Data and Billing Services | Updates Med-IT® Help Desk email address. |
| 3311 | Covered Services | Adds link to Billing Guideline. |
| 3331 | Prescriptive Authority Agreements | Adds Delegation Protocol for Advanced Practice Providers, updates language and links. |
| 3340 | Standing Delegation Orders | Updates title to Standing Orders. Removes specific drug administration language, updates language and links. Adds references. |
| 3342 | Components of Breast Cancer Screening | Deletes note. Updates language from pre-authorization to prior authorization. |
| 3352 | Cervical Cancer Diagnostics | Removes Office-based Procedures Performed in an Ambulatory Surgical Center. |
| 3353 | Cervical Dysplasia Management and Treatment | Removes Office-based Procedures Performed in an Ambulatory Surgical Center. |
| 3360 | Patient Navigation Services | Updates language. Clarifies all clients should receive patient navigation, and that all MBCC applicants should receive navigation. Changes good faith effort from three documented attempts to contact a client to two. |
| 3410 | Financial Status Report (FSR) | Updates title to Monthly Voucher Packet and language. Clarifies voucher submission policy. |
| 3420 | Monthly Voucher Packet | Updates title to Financial Status Report (FSR), updates language. |
| 3440 | Clinical Performance Measures | Removes table and updates reporting language. |
| 3530 | Clinic Locator Survey | Changes title to Clinic Location Survey. Updates language. |
| Appendix I | Medicaid for Breast and Cervical Cancer (MBCC) Application Checklist | Deletes information on submitting H1034. Updates client to applicant. Updates language. |
Forms
| Form No. | Title | Change |
|---|---|---|
| 1065 | Breast and Cervical Cancer Services (BCCS) Program or Family Planning Program (FPP) Eligibility Application | Updates form. |
| 5200 | Med-IT New User Request | Updates form. |
| 5201 | Med-IT New Provider Request | Updates form. |
| 5203 | Breast MRI Prior Authorization Request | Updates form. |
| 5205 | Breast and Cervical Diagnostic Procedure Complication Reimbursement Request | Updates form. |
26-2, Updates Appendix V
Body
Revision 26-2; Effective March 1, 2026
| Section | Title | Change |
|---|---|---|
| Appendix V | Monthly Income Standard Based on 2026 Federal Poverty Level (FPL) | Updates Appendix V, Monthly Income Standard Based on 2026 Federal Poverty Level (FPL). |
26-1, Miscellaneous Revisions
Body
Revision 26-1; Effective Jan. 8, 2026
| Section | Title | Change |
|---|---|---|
| 3341 | Breast Clinical Policy | Clarifies general breast cancer screening policy and updates breast cancer screening policy to include high risk women younger than 40. |
| 3351 | Cervical Cancer Screening Services | Updates cervical cancer screening guidelines to match USPSTF. |
| 3410 | Financial Reconciliation Report (FRR) | Deletes information about FRR. Updates title to Financial Status Report (FSR) and adds text from previous section 3420. |
| 3420 | Financial Status Report (FSR) | Updates title to Monthly Voucher Packet and adds text from previous section 3430. |
| 3430 | Monthly Voucher Packet | Updates title to Match Report and adds text from previous section 3440. |
| 3440 | Match Report | Updates title to Clinical Performance Measures and adds text from previous section 3450. |
| 3450 | Clinical Performance Measures | Deletes section. |
25-3, Miscellaneous Revisions
Body
Revision 25-3; Effective Sept. 1, 2025
| Section | Title | Change |
|---|---|---|
| 1100 | Program Contact Information | Updates program mailing address. Removes TMHP contact information. |
| 1220 | Program Description, Rules and Funding | Updates language about program TAC rules and policy manual requirements. Updates TAC links. |
| 1230 | Definitions | Adds Adjusted Gross Household Income, Alternate Eligibility Screening Tool, Cost Reimbursement, Gross Household Income, Household and Subgrantee definitions. Deletes patient navigation. Replaces with patient navigator definitions. Deletes Subrecipient and Telehealth definitions. Edited other language. Updates TAC links. |
| 2210 | Human Trafficking | Updates link to Trafficking Victims Protection Act of 2000. Adds language requiring human trafficking signage. |
| 2310 | Confidentiality | Updates link to HIPAA rule. Updates language. |
| 2320 | Nondiscrimination and Limited English Proficiency | Updates language to include TAC link. |
| 2500 | Client Record Management | Changes title to Record Management. Updates links to TAC. |
| 2510 | Personnel Policy and Procedures | Updates language. |
| 2610 | Facilities and Equipment | Adds language requiring appropriate exterior signage. Updated TAC link. |
| 2730 | Quality Assurance Activities | Adds language requiring client satisfaction survey data be reported to HHSC. |
| 2740 | Subrecipient Quality and Compliance | Updates text. |
| 2750 | Clinical Quality Assurance | Adds links. |
| 2810 | Reimbursement for Services | Changes title to Fee-for-Service Reimbursement. Previously section 2820. Updates text with information from 3410, Billing Procedures. |
| 2820 | Fee-for-Service Reimbursement | Changes title to Cost Reimbursement. Updates text including with information from 3410, Billing Procedures. |
| 3100 | Grantee Responsibilities | Updates language and federal law link. Adds Evidence-Based Intervention project requirement. |
| 3210 | Eligibility Guidelines | Updates language including benefit information. |
| 3220 | Applying for Services | Updates language. Updates monthly income calculation. |
| 3230 | Adjunctive Eligibility | Removes adjunctive eligibility for CHIP and CHIP-P and updates related language. |
| 3270 | Med-IT Data and Billing Services | Updates language. |
| 3310 | BCCS Grantee Clinical Responsibilities | Adds requirement for grantees to establish policies and train staff. |
| 3331 | Prescriptive Authority Agreements | Updates TAC links. |
| 3340 | Standing Delegation Orders | Updates TAC links and language. |
| 3341 | Breast Clinical Policy | Updates language. |
| 3342 | Components of Breast Cancer Screening | Updates language. Adds information from deleted 3420, Funding for Screening Mammograms and MRI. |
| 3352 | Cervical Cancer Diagnostics | Updates language. Updates email address. |
| 3353 | Cervical Dysplasia Management and Treatment | Updates language. |
| 3354 | Medicaid for Breast and Cervical Cancer | Adds links to MBCC federal and state policy. Adds BCCS requirement for MBCC applications. Updates language. |
| 3360 | Patient Navigation Services | Updates patient navigation definition. |
| 3400 | Reimbursement | Changes title to Data Collection, Reporting and Performance. Previously section 3500. Adds reporting language. |
| 3410 | Billing Procedures | Changes title to Financial Reconciliation Report (FRR). Previously section 3510. |
| 3420 | Financial Status Report (FSR) | Adds section with information on Financial Status Report. |
| 3430 | Funds for Cervical Dysplasia (CD) Management and Treatment | Changes title to Monthly Voucher Packet. Adds information on Monthly Voucher Packet. |
| 3440 | Match Report | Adds new section. Previously section 3540. |
| 3450 | Clinical Performance Measures | Adds new section. Previously section 3550. |
| 3500 | Data Collection, Reporting and Performance | Changes title to Program Promotion, Outreach and In-Reach. Previously section 3600. |
| 3510 | Financial Reconciliation Report (FRR) | Changes title to Promotion and Outreach Activities. Previously section number to 3610. Updates language. |
| 3520 | Match Report | Changes title to Promotion and Outreach Survey. Adds information about promotion and outreach in grantee's designated service area. |
| 3530 | Clinical Performance Measures | Changes title to Clinic Locator Survey. Updates content. |
| 3600 | Program Promotion, Outreach and In-Reach | Deletes section. |
| Appendix I | Medicaid for Breast and Cervical Cancer (MBCC) Application Checklist | Updates language. Adds content from 3354, Medicaid for Breast and Cervical Cancer. |
| Appendix II | Medicaid for Breast and Cervical Cancer (MBCC) Guidelines | Clarifies language. Adds content from 3354, Medicaid for Breast and Cervical Cancer. |
| Appendix III | Program Resource Guide | Deletes outdated resources and duplicate information. |
| Appendix IV | Resources and Contacts | Corrects MED-TRIP phone number. |
| Appendix VI | BCCS Billing Guideline | Removes SC100 from BCCS Billing Guideline PDF. |
Forms
The following forms were revised in the Breast and Cervical Cancer Services Policy Manual:
| No. | Title | Change |
|---|---|---|
| 1065 | Breast and Cervical Cancer Services (BCCS) Program or Family Planning Program (FPP) Eligibility Application | Updates form. |
| 5200 | Med-IT New User Request | Updates form. |