26-2, Updates Appendix V

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Revision 26-2; Effective March 1, 2026

SectionTitleChange
Appendix VMonthly 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

SectionTitleChange
3341Breast Clinical PolicyClarifies general breast cancer screening policy and updates breast cancer screening policy to include high risk women younger than 40.
3351Cervical Cancer Screening ServicesUpdates cervical cancer screening guidelines to match USPSTF.
3410Financial Reconciliation Report (FRR)Deletes information about FRR. Updates title to Financial Status Report (FSR) and adds text from previous section 3420.
3420Financial Status Report (FSR)Updates title to Monthly Voucher Packet and adds text from previous section 3430.
3430Monthly Voucher PacketUpdates title to Match Report and adds text from previous section 3440.
3440Match ReportUpdates title to Clinical Performance Measures and adds text from previous section 3450.
3450Clinical Performance MeasuresDeletes section.

25-3, Miscellaneous Revisions

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Revision 25-3; Effective Sept. 1, 2025

SectionTitleChange
1100Program Contact InformationUpdates program mailing address. Removes TMHP contact information.
1220Program Description, Rules and FundingUpdates language about program TAC rules and policy manual requirements. Updates TAC links.
1230DefinitionsAdds 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.
2210Human TraffickingUpdates link to Trafficking Victims Protection Act of 2000. Adds language requiring human trafficking signage. 
2310ConfidentialityUpdates link to HIPAA rule. Updates language.
2320Nondiscrimination and Limited English ProficiencyUpdates language to include TAC link.
2500Client Record ManagementChanges title to Record Management. Updates links to TAC.
2510Personnel Policy and ProceduresUpdates language.
2610Facilities and EquipmentAdds language requiring appropriate exterior signage. Updated TAC link.
2730Quality Assurance ActivitiesAdds language requiring client satisfaction survey data be reported to HHSC.
2740Subrecipient Quality and ComplianceUpdates text.
2750Clinical Quality AssuranceAdds links. 
2810Reimbursement for ServicesChanges title to Fee-for-Service Reimbursement. Previously section 2820. Updates text with information from 3410, Billing Procedures.
2820Fee-for-Service ReimbursementChanges title to Cost Reimbursement. Updates text including with information from 3410, Billing Procedures.
3100Grantee ResponsibilitiesUpdates language and federal law link. Adds Evidence-Based Intervention project requirement.
3210Eligibility GuidelinesUpdates language including benefit information. 
3220Applying for ServicesUpdates language. Updates monthly income calculation. 
3230Adjunctive EligibilityRemoves adjunctive eligibility for CHIP and CHIP-P and updates related language.
3270Med-IT Data and Billing ServicesUpdates language.
3310BCCS Grantee Clinical ResponsibilitiesAdds requirement for grantees to establish policies and train staff.
3331Prescriptive Authority AgreementsUpdates TAC links.
3340Standing Delegation OrdersUpdates TAC links and language.
3341Breast Clinical PolicyUpdates language. 
3342Components of Breast Cancer ScreeningUpdates language. Adds information from deleted 3420, Funding for Screening Mammograms and MRI.
3352Cervical Cancer DiagnosticsUpdates language. Updates email address.
3353Cervical Dysplasia Management and TreatmentUpdates language.
3354Medicaid for Breast and Cervical Cancer Adds links to MBCC federal and state policy. Adds BCCS requirement for MBCC applications. Updates language. 
3360Patient Navigation Services Updates patient navigation definition.
3400ReimbursementChanges title to Data Collection, Reporting and Performance. Previously section 3500. Adds reporting language.
3410Billing ProceduresChanges title to Financial Reconciliation Report (FRR). Previously section 3510.
3420Financial Status Report (FSR)Adds section with information on Financial Status Report.
3430Funds for Cervical Dysplasia (CD) Management and TreatmentChanges title to Monthly Voucher Packet. Adds information on Monthly Voucher Packet. 
3440Match ReportAdds new section. Previously section 3540.
3450Clinical Performance MeasuresAdds new section. Previously section 3550.
3500Data Collection, Reporting and PerformanceChanges title to Program Promotion, Outreach and In-Reach. Previously section 3600. 
3510Financial Reconciliation Report (FRR)Changes title to Promotion and Outreach Activities. Previously section number to 3610. Updates language.
3520Match ReportChanges title to Promotion and Outreach Survey. Adds information about promotion and outreach in grantee's designated service area. 
3530Clinical Performance MeasuresChanges title to Clinic Locator Survey. Updates content.
3600Program Promotion, Outreach and In-ReachDeletes section.
Appendix IMedicaid for Breast and Cervical Cancer (MBCC) Application ChecklistUpdates language. Adds content from 3354, Medicaid for Breast and Cervical Cancer.
Appendix IIMedicaid for Breast and Cervical Cancer (MBCC) GuidelinesClarifies language. Adds content from 3354, Medicaid for Breast and Cervical Cancer.
Appendix IIIProgram Resource GuideDeletes outdated resources and duplicate information.
Appendix IVResources and ContactsCorrects MED-TRIP phone number.
Appendix VIBCCS Billing GuidelineRemoves SC100 from BCCS Billing Guideline PDF.

Forms

The following forms were revised in the Breast and Cervical Cancer Services Policy Manual:

 No.TitleChange
1065Breast and Cervical Cancer Services (BCCS) Program or Family Planning Program (FPP) Eligibility ApplicationUpdates form.
5200Med-IT New User RequestUpdates form.

 

25-2, Updates Appendix V

Body

Revision 25-2; Effective March 1, 2025

SectionTitleChange
Appendix VMonthly Income Standard Based on 2025 Federal Poverty Level (FPL)Updates Appendix V, Monthly Income Standard Based on 2025 Federal Poverty Level (FPL).