BCCS Revisions
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
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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. |
25-2, Updates Appendix V
Body
Revision 25-2; Effective March 1, 2025
| Section | Title | Change |
|---|---|---|
| Appendix V | Monthly Income Standard Based on 2025 Federal Poverty Level (FPL) | Updates Appendix V, Monthly Income Standard Based on 2025 Federal Poverty Level (FPL). |