reglab/statecodes huggingface dataset:
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 33 - EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT › Subchapter D - ELIGIBILITY AND PERIODICITY › Section 33.41 - Periodicity of Medical and Dental Check-Ups

Current through Reg. 49, No. 28; July 12, 2024
(a) Medical check-ups periodicity. Clients
				  are eligible to receive a comprehensive medical check-up at the intervals set
				  forth in the TMPPM and current THSteps outreach and informing materials
				  distributed to eligible clients and their families. The periodicity of medical
				  check-ups is at least as frequent as that recommended by the American Academy
				  of Pediatrics. Clients are also eligible to receive a medical check-up, even if
				  one is not due under the periodicity schedule, if:
(1) there are indications that a health
				  screening is medically necessary; or
(2) required to meet a state or federal law
				  requirement, such as a child entering Head Start or foster care, or in a
				  pre-adoptive placement.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 33 - EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT › Subchapter E - MEDICAL CHECK-UPS › Section 33.60 - Medical Check-Ups

Current through Reg. 49, No. 28; July 12, 2024
(a) Clients are
				  entitled to receive a comprehensive medical check-up for the early detection of
				  health problems and the referral for definitive diagnosis and treatment when
				  indicated by the check-up.
(b)
				  Following are the federally-mandated components of a THSteps comprehensive
				  medical check-up:
(1) comprehensive health
				  and developmental history, including physical and mental health and
				  development;
(2) comprehensive
				  unclothed physical examination;
(3)
				  immunizations appropriate for age and health history;
(4) laboratory tests appropriate to age and
				  risk, including lead toxicity screening; and
(5) health education, including anticipatory
				  guidance.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 33 - EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT › Subchapter F - DENTAL SERVICES › Section 33.70 - Dental Preventive and Treatment Services

Current through Reg. 49, No. 28; July 12, 2024
(a) In addition to dental check-ups, which
				  may include radiographs and other diagnostic tests, clients are eligible to
				  receive the following dental services and treatment, as described in detail in
				  the TMPPM:
(1) diagnostic;
(2) preventive;
(3) therapeutic (including
				  orthodontic);
(4) emergency;
				  and
(5) medically necessary
				  treatment.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 33 - EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT › Subchapter F - DENTAL SERVICES › Section 33.71 - Orthodontic Services and Prior Authorization

Current through Reg. 49, No. 28; July 12, 2024
(a) Orthodontic services for cosmetic reasons
				  only are not a covered Medicaid service. Orthodontic services must be prior
				  authorized and are limited to treatment of severe handicapping malocclusion and
				  other related conditions as described and measured by the procedures and
				  standards published in the TMPPM.
(b) Prior authorization for orthodontic
				  services is not transferable to another provider.
(c) Orthodontic services that are authorized
				  and initiated before a client loses Medicaid eligibility or turns 21 years of
				  age, can continue beyond the date the client loses eligibility if the services
				  are completed within 36 months of initiation, as described in the
				  TMPPM.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 33 - EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT › Subchapter F - DENTAL SERVICES › Section 33.72 - Dental Utilization Reviews

Current through Reg. 49, No. 28; July 12, 2024
(a)
				  Purpose. The purpose of dental utilization reviews is to ensure program fiscal
				  integrity, to address the federal mandate requiring program funds be spent only
				  as allowed under federal and state laws and regulations, and to ensure that
				  services are appropriately provided to clients.
(b) Recoupment of overpayments. If the
				  results of a utilization review indicate overpayment for services delivered or
				  that payment was made for services not delivered, recoupment is required. The
				  appropriate agency or agency designee shall notify the provider in writing of
				  any overpayment identified and the method of recoupment to be used.
(c) Administrative actions and sanctions.
				  Evaluation of a utilization review may result in one or more of the following
				  administrative actions or sanctions by the appropriate agency or the agency's
				  designee:
(1) closure of the review with
				  written notification to the provider;
(2) discussion and interpretation of the
				  utilization review results with the provider;
(3) referral to the appropriate state
				  licensing board or OIG; and
(4) any
				  other remedies authorized by rule, regulation, statute, or contract.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 33 - EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT › Subchapter G - ENVIRONMENTAL LEAD INVESTIGATIONS › Section 33.80 - Environmental Lead Investigations

Current through Reg. 49, No. 28; July 12, 2024
(a)
				  Environmental lead investigations are a benefit of Medicaid for all THSteps
				  clients with elevated blood lead levels as specified by federal
				  guidelines.
(b) The investigation
				  to determine the source of lead is:
(1)
				  subject to the requirements in §
											37.338
				  and §
											37.339
				  of this title (relating to Reporting, Treatment and Investigation of Child
				  Blood Lead Levels);
(2) conducted
				  by certified lead risk assessors who are employed by or contractors of the
				  state health department or local health departments; and
(3) limited to the child's home or primary
				  residence.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter A - FEDERAL LAWS AND REGULATIONS GOVERNING MATERNAL AND CHILD HEALTH SERVICES PROGRAMS › Section 37.1 - Federal Laws Governing Maternal and Child Health and Crippled Children's Services

Current through Reg. 49, No. 28; July 12, 2024
The Texas Department of Health adopts by reference 42
					 United States Code Chapter 7, Subchapter V, (Maternal and Child Health and
					 Crippled Children's Services).
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter A - FEDERAL LAWS AND REGULATIONS GOVERNING MATERNAL AND CHILD HEALTH SERVICES PROGRAMS › Section 37.2 - Federal Regulations Governing Maternal and Child Health and Crippled Children's Services

Current through Reg. 49, No. 28; July 12, 2024
The Texas Department of Health adopts by reference 42 Code
					 of Federal Regulations Chapter 1, Part 51a, (Grants for Maternal and Child
					 Health and Crippled Children's Services).
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter A - FEDERAL LAWS AND REGULATIONS GOVERNING MATERNAL AND CHILD HEALTH SERVICES PROGRAMS › Section 37.3 - Intrauterine Contraceptive Devices

Current through Reg. 49, No. 28; July 12, 2024
(a)
				  The Texas Department of Health adopts by reference U.S. Department of Health,
				  Education and Welfare regulations on intrauterine contraceptive devices
				  published in 21 Code of Federal Regulations, Chapter I, Part 310,
				  §310.502, "Intrauterine devices for human use for the purpose of
				  contraception," and Part 801, §801.425, "Professional and patient labeling
				  for intrauterine contraceptive devices." These regulations became effective
				  November 7, 1977.
(b) The purpose
				  of these federal regulations is that the U.S. Food and Drug Administration is
				  establishing uniform professional and patient labeling for intrauterine devices
				  (IUDs). The labeling will assist professionals and patients in deciding whether
				  to use an IUD for contraception; it includes requirements for instructions on
				  insertion and usage, contraindications, warnings, adverse reactions,
				  precautions, side effects, and information on IUD effectiveness.
(c) Copies of the regulations referred in
				  this section are indexed and filed in the Texas Department of Health, Maternal
				  and Child Health Services Division, 1100 West 49th Street, Austin, Texas
				  78756.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter B - MARCH OF DIMES RULES ON HEALTH EDUCATION GRANTS › Section 37.11 - Purpose

Current through Reg. 49, No. 28; July 12, 2024
The purpose of these rules is to establish procedures for
					 the administration of contracts between the Texas Department of Health and
					 providers of early childhood intervention services which are executed under
					 authority of the Human Resources Code, § 73.018. The Texas Department of
					 Health is under a duty to execute such contracts at the request of the
					 Interagency Council on early Childhood Intervention Services.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter B - MARCH OF DIMES RULES ON HEALTH EDUCATION GRANTS › Section 37.12 - Definitions

Current through Reg. 49, No. 28; July 12, 2024
The following words and terms, when used in these sections,
					 shall have the following meanings, unless the context clearly indicates
					 otherwise:
(1) Agency--The Texas
				  Education Agency and/or the Texas Department of Mental Health and Mental
				  Retardation.
(2) Department--The
				  Texas Department of Health.
(3)
				  Interagency Council--The Interagency Council on Early Childhood Intervention
				  Services, established under authority of the Human Resources Code, §
										73.002.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter B - MARCH OF DIMES RULES ON HEALTH EDUCATION GRANTS › Section 37.15 - Withholding of Funds to Providers

Current through Reg. 49, No. 28; July 12, 2024
The department shall withhold funds to a provider as
					 authorized by interagency council rule, § 621.30 of this title (relating
					 to Withholding of Funds to Provider).
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter C - VISION AND HEARING SCREENING › Section 37.21 - Purpose

Current through Reg. 49, No. 28; July 12, 2024
The purpose of this subchapter is to implement Texas Health
					 and Safety Code, Chapter 36, concerning the early identification of individuals
					 from birth through 20 years of age who have special senses and communication
					 disorders and who need remedial vision, hearing, speech, or language
					 services.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter C - VISION AND HEARING SCREENING › Section 37.23 - Vision Screening

Current through Reg. 49, No. 28; July 12, 2024
(a) Screening
				  is required, for individuals who attend a facility, to detect vision disorders.
				  Vision screening conducted under this subchapter by a person who is not a
				  licensed professional, as the term is defined in this subchapter, must be
				  conducted following the national standards set by AAPOS currently found at
				  http://www.aapos.org/terms/conditions/131, as revised, as they apply to age,
				  verbal ability, ability to cooperate with screening, allowable methods of
				  screening in different situations, and referral criteria, with the following
				  exceptions.
(1) For children less than five
				  years of age, refer for a professional examination when there is a difference
				  of two lines between passing acuities in either eye.
(2) For children five years of age and older,
				  refer for a professional examination when screening results indicate visual
				  acuity of less than 20/30 in either eye (rather than 20/32 as listed in the
				  AAPOS standards).
(3) In addition
				  to AAPOS' recommendation regarding photoscreening for children 42 months to
				  five years of age, photoscreening may be used for any individual (referenced in
				  §
											37.21 of this
				  title (relating to Purpose) with disabilities who does not respond well to
				  other allowable screening methods. A referral to a professional examination is
				  recommended if the individual fails the photoscreening.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter C - VISION AND HEARING SCREENING › Section 37.24 - Hearing Screening

Current through Reg. 49, No. 28; July 12, 2024
(a) Screening
				  is required, for individuals who attend a facility, to detect hearing
				  disorders. Hearing screening under this subchapter must be conducted using
				  screening methods and referral criteria, and in compliance with other
				  requirements, as follows.
(b) A
				  person who is not a "licensed professional," as that term is defined in this
				  subchapter, who conducts hearing screening must be trained and certified as
				  described in §
										37.27
				  of this title (relating to Standards and Requirements for Screening
				  Certification and Instructor Training).
(c) A pure-tone audiometer shall be used to
				  conduct a sweep-check screen.
(d)
				  Screening results shall be recorded for each ear at less than or equal to 25 dB
				  for 1000 Hz, 2000 Hz, and 4000 Hz.
(e) A rescreen with another sweep-check is
				  recommended if test results indicate failure to respond to any of the three
				  frequencies in either ear, and it should be conducted no sooner than three
				  weeks but not more than four weeks after the initial screening.
(f) An extended recheck may be conducted or a
				  referral to a professional examination shall be made for all children whose
				  test results indicate failure to respond to any of the three frequencies in
				  either ear on the second sweep-check.
(g) If the extended recheck results in a
				  failure to respond to any frequency in either ear at greater than 25dB, the
				  screener must recommend that a professional examination be immediately
				  conducted.
(h) An extended recheck
				  shall be conducted according to the following procedures.
(1) Beginning with the right ear, present the
				  tone at 40 dB hearing level (HL) and at 1000 Hz for two to three seconds. If no
				  response is obtained, record "greater than 40 dB."
(2) If the child responds at 40 dB, lower the
				  intensity to 30 dB HL and present the tone again.
(3) Lower the HL in 10 dB increments until no
				  response is obtained, or until 20 dB is reached. If a response is obtained at
				  20 dB, record "20 dB."
(4) If no
				  response is obtained, increase the HL dial in 5 dB increments until a response
				  is obtained. Record the dB results obtained at 1000 Hz for the right
				  ear.
(5) Repeat steps in paragraphs
				  (1) - (4) of this subsection at 40 dB HL for 2000 Hz and 4000 Hz.
(6) Repeat steps in paragraphs (1) - (5) of
				  this subsection for the left ear.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter C - VISION AND HEARING SCREENING › Section 37.25 - Facility Requirements; Department Activities

Current through Reg. 49, No. 28; July 12, 2024
(a) The chief administrator of each facility
				  shall ensure that each individual admitted to the facility complies with the
				  screening requirements of this subchapter (including ensuring that any
				  screening done is performed by a properly certified screener), according to the
				  following schedule.
(1) Children four years
				  of age or older, who are enrolled in any facility for the first time, must be
				  screened for possible vision and hearing problems within 120 calendar days of
				  enrollment. If a child is enrolled within 60 days of the date a facility closes
				  for the Summer, the child's vision and hearing must be tested within 120 days
				  of the beginning of the following school year.
(2) Children enrolled in pre-kindergarten and
				  kindergarten must be screened each year within 120 days of
				  enrollment.
(3) Children enrolled
				  in the first, third, fifth, and seventh grades must receive vision and hearing
				  screening in each of those grade years (can be done at any time during each of
				  those years).
(4) Except for
				  children enrolled in pre-kindergarten, kindergarten or first grade, a facility
				  shall exempt any child from screening as required by paragraphs (1) - (3) of
				  this subsection if the child's parent, managing conservator, or legal guardian,
				  or the individual under the scenarios described at Texas Family Code, §
											32.003,
				  submits a record to the facility showing that a professional examination was
				  properly conducted during the grade year in question or during the previous
				  year. The record must be submitted to the facility during the grade year in
				  which the screening would otherwise be required.
(5) Children enrolled in a facility who turn
				  four years of age after September 1 of that year are exempt from screening
				  until the following September.
(6)
				  Upon written request pre-approved by the department, the screening of vision
				  and hearing performed at a facility may occur on an even-year schedule (i.e.,
				  pre-kindergarten, kindergarten, and first, second, fourth, and sixth grades
				  instead of pre-kindergarten, kindergarten, and first, third, fifth, and seventh
				  grades). Any department approval will include conditions so that children do
				  not miss necessary screening during the transition.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter C - VISION AND HEARING SCREENING › Section 37.26 - Recordkeeping and Reporting

Current through Reg. 49, No. 28; July 12, 2024
(a)
				  Individuals conducting screenings under this subchapter must comply with the
				  following recordkeeping and reporting requirements.
(1) Individuals conducting screenings at the
				  facility (and those other than licensed professionals conducting screenings
				  outside of the facility) shall document in each child's screening record the
				  specific screening conducted, the date the screening was conducted,
				  observations made during the screening, and the final results of the screening.
				  The individual shall also ensure that the following are included in the
				  documentation: the name of the child, age or birthdate of the child, and
				  whether the child is wearing corrective lenses during the vision screening. The
				  documentation required under this subsection must also be signed and dated by
				  the person who conducted the screening.
(2) Individuals using photoscreening for
				  vision screening must comply with the recordkeeping and reporting requirements
				  detailed at §
											37.27(b)(2)
				  of this title (relating to Standards and Requirements for Screening
				  Certification and Instructor Training). Additionally, prior to conducting
				  photoscreening at a facility, the individual must submit copies of these same
				  documents to that facility in addition to the documents which must be submitted
				  under subsection (b)(3) of this section.
(3) Individuals using a telebinocular
				  instrument for vision screening must comply with the recordkeeping and
				  reporting requirements detailed at §
											37.27(b)(3)
				  of this title. Additionally, prior to conducting telebinocular screening at a
				  facility, the individual must submit copies of these same documents to that
				  facility.
(4) Individuals
				  conducting screenings at a facility (and those other than licensed
				  professionals conducting screening outside of the facility) shall submit the
				  documentation referenced in paragraph (1) of this subsection to the facility at
				  the time of that screening.
(5)
				  Individuals must submit documentation to the department related to
				  certifications and refresher courses, as specified in §
											37.27
				  of this title.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter C - VISION AND HEARING SCREENING › Section 37.27 - Standards and Requirements for Screening Certification and Instructor Training

Current through Reg. 49, No. 28; July 12, 2024
(a) Individuals
				  who conduct vision and/or hearing screening must be certified under this
				  section unless the screening is conducted by a licensed professional. There are
				  two options for obtaining this certification: a certificate issued directly by
				  the department; or a certificate issued by an instructor who has been trained
				  and authorized by the department to issue certificates. There is no cost to
				  taking the course in either scenario.
(1) The
				  department offers certification courses, and issues certificates to those who
				  successfully complete them. To be eligible to take the department's
				  certification course, an individual must be a high school graduate and sign a
				  written statement to that effect at the beginning of the course. Individuals
				  who successfully complete the course, including passing the associated tests,
				  will be issued a certificate by the department.
(2) The department trains instructors who
				  themselves give certification courses, as described in this section. The
				  eligibility requirement to attend such a course is the same as is described at
				  paragraph (1) of this subsection. Individuals who successfully complete the
				  course, including passing the associated tests, will be issued a certificate
				  signed by the authorized instructor. It will have the same validity, and is
				  subject to the same restrictions, as a certificate issued under paragraph (1)
				  of this subsection.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter D - NEWBORN SCREENING PROGRAM › Section 37.51 - Purpose

Current through Reg. 49, No. 28; July 12, 2024
(a) Newborn
				  screening is composed of screening performed on blood specimens ("blood
				  spot-based newborn screening") as well as that performed at the point-of-care
				  ("point-of-care newborn screening"). This subchapter covers blood spot-based
				  newborn screening, with two exceptions:
(1)
				  program benefits (§
											37.60
				  of this title relating to Newborn Screening Program Benefits); §
											37.61(a)(1)
				  of this title (relating to Eligibility Requirements for the Newborn Screening
				  Program Benefits); §
											37.63(a)(1)
				  of this title (relating to Denial of Application, and Modification, Suspension,
				  or Termination of Newborn Screening Program Benefits); and
(2) Newborn Screening Advisory Committee
				  (§
											37.64
				  of this title (relating to Newborn Screening Advisory Committee)).
				  Point-of-care newborn screening tests are structured to be covered in a
				  separate rule subchapter under this chapter. For purposes of this subchapter,
				  references to the "Newborn Screening Program" (program) means newborn screening
				  that is blood spot-based. This subchapter implements Texas Health and Safety
				  Code, Chapter 33, administered by the Texas Department of State Health Services
				  (department), except for the requirements associated with conducting Critical
				  Congenital Heart Disease (CCHD) screening, which will be implemented in a
				  separate subchapter. Each newborn delivered in the state must be screened,
				  which involves two blood draws collected on separate days, as described in this
				  subchapter, followed by department laboratory screening tests on those blood
				  specimens for phenylketonuria, other heritable diseases, hypothyroidism, and
				  certain other disorders as detailed in §
											37.53
				  of this title (relating to Disorders for Which Blood Specimen Screening is
				  Performed).
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter D - NEWBORN SCREENING PROGRAM › Section 37.52 - Definitions

Current through Reg. 49, No. 28; July 12, 2024
The following words and terms, when used in this
					 subchapter, shall have the following meanings, unless the context clearly
					 indicates otherwise.
(1) Abnormal
				  screening result(s)--An out-of-range laboratory test result.
(2) Bona fide resident--A person who:
(A) is physically present within the
				  geographic boundaries of the state;
(B) has an intent to remain within the
				  state;
(C) maintains an abode
				  within the state (i.e., house or apartment, not merely a post office
				  box);
(D) has not come to Texas
				  from another country for the purpose of obtaining medical care, with the intent
				  to return to the person's native country;
(E) does not claim residency in any other
				  state or country; and
(i) is a minor child
				  residing in Texas whose parent, managing conservator, or legal guardian is a
				  bona fide resident;
(ii) is a
				  person residing in Texas who is the legally dependent spouse of a bona fide
				  resident; or
(iii) is an adult
				  residing in Texas, including an adult whose parent, managing conservator, or
				  legal guardian is a bona fide resident or who is his/her own legal
				  guardian.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter D - NEWBORN SCREENING PROGRAM › Section 37.53 - Disorders for Which Blood Specimen Screening is Performed

Current through Reg. 49, No. 28; July 12, 2024
Newborn screening in Texas includes the disorders found on
					 the national Recommended Uniform Screening Panel for which funds are available
					 and allocated for the screening. For a complete list of the disorders the State
					 of Texas screens for at any given time, go to
					 http://www.dshs.state.tx.us/newborn.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter D - NEWBORN SCREENING PROGRAM › Section 37.54 - Newborn Screening Exemption

Current through Reg. 49, No. 28; July 12, 2024
The newborn screening tests referenced in §
										37.53
					 of this title (relating to Disorders for Which Blood Specimen Screening is
					 Performed) are not required for a newborn child whose parent, managing
					 conservator, or legal guardian objects on the ground that the tests conflict
					 with the religious tenets or practices of an organized church of which they are
					 adherents. The objection of the parent, managing conservator, or legal guardian
					 to the screening tests shall be entered into the medical record of the child by
					 the physician (or other person attending a newborn, if no physician is
					 present). The parent, managing conservator, or legal guardian must sign the
					 entry in order for the exemption to be valid.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter D - NEWBORN SCREENING PROGRAM › Section 37.55 - Newborn Screening Specimen Collection Kits

Current through Reg. 49, No. 28; July 12, 2024
(a) Purpose. This section establishes
				  procedures for the obtaining, and subsequent submission of, newborn screening
				  specimen collection kits provided by the department.
(b) Specimen collection kits.
(1) The requestor will estimate and submit to
				  the department a written order, using forms designated by the department, for
				  newborn screening specimen collection kits. The estimate should be based on the
				  requestor's previous usage. A requestor shall provide further information to
				  the department, upon request, to verify the appropriateness of the number of
				  specimen collection kits ordered.
(A) The
				  department will provide specimen collection kits for Medicaid-eligible,
				  CHIP-eligible, or charity care newborns at no cost. The no-cost specimen
				  collection kit should only be used for a Medicaid-eligible, CHIP-eligible or
				  charity care newborn, and the submitter must affirm this on the specimen
				  collection kit request form.
(B)
				  The department will provide specimen collection kits for all other newborns at
				  a fee described in §
												73.54(a)(1)(A)(i)
				  of this title (relating to Fee Schedule for Clinical Testing and Newborn
				  Screening).
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter D - NEWBORN SCREENING PROGRAM › Section 37.56 - Responsibilities of the Physician (or Other Person Attending a Newborn, if No Physician is Present) and Collection of First and Second Specimen

Current through Reg. 49, No. 28; July 12, 2024
(a) A physician (or
				  other person attending a newborn, if no physician is present) shall obtain a
				  capillary blood specimen from the newborn and submit those specimens, all in
				  accordance with instructions in §
										37.55
				  of this title (relating to Newborn Screening Specimen Collection Kits) and
				  further instructions provided on and with the specimen collection.
(b) A capillary blood specimen shall be
				  collected by absorbing the blood onto target circles on a specialized filter
				  paper collection device. Other body fluids or blood from the placenta,
				  umbilical cord, or mother are not acceptable.
(c) The blood specimen is to be obtained by
				  the physician (or other person attending the newborn, if no physician is
				  present) after 24 hours of age and before 48 hours of age. If the newborn is
				  discharged from the hospital or birthing facility before the above criteria are
				  met, the blood specimen must be obtained immediately prior to discharge. A
				  second blood specimen is to be collected between one and two weeks of age in
				  accordance with this section.
(1) If program
				  data and/or other available information demonstrate to the department's
				  satisfaction that the second screening is no longer necessary, the commissioner
				  may remove the second screening from the Texas Newborn Screening
				  Program.
(2) The commissioner's
				  decision would be announced through means deemed appropriate by the
				  commissioner to notify physicians, other health care practitioners, and other
				  interested persons. Prior to the effective date of the announced change, the
				  department's newborn screening educational information will be revised to
				  reflect this program change.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter D - NEWBORN SCREENING PROGRAM › Section 37.57 - Screening Procedures To Be Used

Current through Reg. 49, No. 28; July 12, 2024
Newborn screening laboratory analyses of blood specimens
					 for the screenings must be performed by the department or the department's
					 designee. The department or the department's designee is responsible for
					 identifying and implementing proper laboratory procedures for the screening
					 tests referenced in §
										37.53
					 of this title (relating to Disorders for Which Blood Specimen Screening is
					 Performed).
(1) The analyses of first
				  and any subsequent blood specimens are included in these
				  responsibilities.
(2) Upon
				  completion of the laboratory analyses, screening results shall be transmitted
				  to the person who submitted the blood specimen. The laboratory results are also
				  available to authorized persons by telephone and other electronic means. The
				  department shall establish a written policy for communicating the laboratory
				  results.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter D - NEWBORN SCREENING PROGRAM › Section 37.58 - Follow-Up, Reporting, and Record Keeping on Abnormal Screening Results and Confirmed Cases

Current through Reg. 49, No. 28; July 12, 2024
(a) The department
				  shall make notification of abnormal screening results as specified in Texas
				  Health and Safety Code, §
										33.014(a).
				  The department maintains an active system of follow-up for those cases. The
				  department will provide recommendations for clinical confirmation following
				  abnormal screening results.
(b) The
				  department may request local health authorities, and/or the designated staff in
				  the department's health service regions to provide follow-up and other
				  appropriate assistance for individuals at risk from the disorders referenced in
				  §
										37.53
				  of this title (relating to Disorders for Which Blood Specimen Screening is
				  Performed).
(c) The person
				  submitting the newborn screening specimen may assist the department with
				  follow-up of individuals at risk for the disorders referenced in §
										37.53
				  of this title.
(d) The department
				  will identify pediatric specialists in the state who are available to provide
				  consultation to physicians and other health care practitioners regarding the
				  diagnosis and management of newborns with abnormal screening results. If a
				  screening test indicates that a newborn child is at high risk, department
				  program staff will provide the physician, or other health care practitioner if
				  the infant does not have a physician, with the names of appropriate consultants
				  in the infant's geographic area. The program may provide information about
				  abnormal screening results to the pediatric specialists who cooperate with the
				  department as part of the department's activities under this
				  subchapter.
(e) Each physician,
				  local health authority, or other individual shall report to the department all
				  confirmed cases of the disorders referenced in §
										37.53
				  of this title within 30 days of obtaining such information.
(f) The department will collect and compile
				  information it receives under this subchapter and from other sources to derive
				  incidence/prevalence rates for the disorders referenced in §
										37.53
				  of this title. The data may enable the department to identify high-risk
				  population groups, with the ultimate goal of preventing severe sequelae of the
				  disorders.
(g) The department may
				  follow up with a confirmed case through periodic data collection from the
				  physician and/or other health care practitioner and/or parent, managing
				  conservator, or legal guardian.
(h)
				  The department shall maintain a registry of children born in Texas who have
				  been diagnosed as having one of the disorders referenced in §
										37.53
				  of this title, as required by Texas Health and Safety Code, §
										33.015(c).
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter D - NEWBORN SCREENING PROGRAM › Section 37.59 - Coordination With Children With Special Health Care Needs Services Program

Current through Reg. 49, No. 28; July 12, 2024
(a) All newborns
				  and other individuals under the age of 21 years who have an abnormal screening
				  may be referred, if financially eligible, to the department's Children with
				  Special Health Care Needs (CSHCN) Services Program.
(b) An individual who is determined to be
				  eligible for the CSHCN Services Program will be given approved services through
				  that program, including special dietary formula, unless access to CSHCN
				  Services Program health care benefits is restricted according to §
										38.16
				  of this title (relating to Procedures to Address Program Budget Alignment). An
				  individual who does not meet CSHCN Services Program's eligibility criteria will
				  be referred to the department's Newborn Screening Program Benefits staff for a
				  determination of eligibility for that program's benefits, as referenced in
				  §
										37.60
				  of this title (relating to Newborn Screening Program Benefits).
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter D - NEWBORN SCREENING PROGRAM › Section 37.60 - Newborn Screening Program Benefits

Current through Reg. 49, No. 28; July 12, 2024
In cooperation with the individual's physician or other
					 health care practitioner and within the limits of funds budgeted by the
					 department for this purpose, the program will provide benefits such as dietary
					 supplements, medications, vitamins, low-protein foods, and follow-up care at no
					 cost or reduced cost to individuals approved for program benefits who have a
					 disorder detected through the program, and confirmed with appropriate
					 diagnostic tests, that have been interpreted by a physician recognized by the
					 department as a specialist in the applicable disorder(s) as referenced in
					 §
										37.53
					 of this title (relating to Disorders for Which Blood Specimen Screening is
					 Performed), and/or CCHD, once the department has established rules covering
					 that subject matter in a separate subchapter under this chapter. Program
					 benefits also include coverage for confirmatory testing of individuals who have
					 a presumptive disorder, from the list of disorders referenced in §
										37.53
					 of this title. These program benefits will be prioritized among eligible
					 individuals in the following order:
(1) children 0-2 years of age;
(2) children 3-5 years of age;
(3) children 6-21 years of age;
(4) pregnant women;
(5) women of child bearing age; and
(6) other adults.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter D - NEWBORN SCREENING PROGRAM › Section 37.61 - Eligibility Requirements for the Newborn Screening Program Benefits

Current through Reg. 49, No. 28; July 12, 2024
(a) Except as
				  otherwise provided for in this subchapter, to be eligible to receive the
				  benefits from the program referenced in §
										37.60
				  of this title (relating to Newborn Screening Program Benefits), an individual
				  must:
(1) have an abnormal screening result
				  (pending confirmation of diagnosis), or a confirmed diagnosis of a disorder
				  screened by the program as referenced in §
											37.53
				  of this title (relating to Disorders for Which Blood Specimen Screening is
				  Performed) and/or CCHD, once the department has established rules covering that
				  subject matter in a separate subchapter under this chapter;
(2) be a bona fide resident of the
				  state;
(3) have a family income
				  that is at or below 350% of the federal poverty income guidelines;
(4) if required, make financial participation
				  payments in a timely manner;
(5) as
				  directed by the program, provide current medical, financial, and residency
				  information and/or documentation in a timely manner; and
(6) have a parent, managing conservator, or
				  legal guardian agree to abide by the requirements in this subchapter if the
				  individual is a minor.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter D - NEWBORN SCREENING PROGRAM › Section 37.62 - Application Process for the Newborn Screening Program Benefits

Current through Reg. 49, No. 28; July 12, 2024
(a) To be
				  considered for program benefits described in §
										37.60
				  of this title (relating to Newborn Screening Program Benefits), a complete
				  application must be filed annually (according to the deadlines provided by the
				  department) with the program by mailing to the following address: Newborn
				  Screening Unit, Mail Code 1918, Department of State Health Services, P.O. Box
				  149347, Austin, Texas 78714-9347.
(b) The application must be signed by one of
				  the following as appropriate:
(1) an adult
				  individual seeking services;
(2)
				  the parent, managing conservator, or legal guardian of a minor seeking
				  services; or
(3) the legal guardian
				  of an adult seeking services under a temporary, limited or general
				  guardianship.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter D - NEWBORN SCREENING PROGRAM › Section 37.63 - Denial of Application, and Modification, Suspension, or Termination of Newborn Screening Program Benefits

Current through Reg. 49, No. 28; July 12, 2024
(a) An
				  individual applying for or receiving benefits described in §
										37.60
				  of this title (relating to Newborn Screening Program Benefits) may have his/her
				  application denied or his/her benefits modified, suspended, or terminated for
				  any of the following reasons:
(1) the
				  individual does not have a confirmed diagnosis of a disorder screened by the
				  program for which benefits are available (including confirmatory testing), as
				  referenced in §
											37.61(a)(1)
				  of this title (relating to Eligibility Requirements for the Newborn Screening
				  Program Benefits);
(2) the
				  individual is not a bona fide resident of the state;
(3) the individual fails or refuses to
				  provide the information requested by the program (e.g., regarding residency,
				  financial status, eligibility for other benefits);
(4) the individual submits an application
				  form, or any document required in support of the application or continued
				  participation in the program, which contains an intentional misstatement of
				  fact which is material to the program's determination that the individual is
				  eligible for program benefits; or
(5) exhaustion of budgeted program funds,
				  prioritized as required under §
											37.60
				  of this title.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter D - NEWBORN SCREENING PROGRAM › Section 37.64 - Newborn Screening Advisory Committee

Current through Reg. 49, No. 28; July 12, 2024
The scope of matters on which the Newborn Screening
					 Advisory Committee may legally submit recommendations to the department is as
					 follows:
(1) potential additional
				  newborn screening tests under Texas Health and Safety Code, §
										33.011(a-1)
				  for other disorders or conditions listed under the Recommended Uniform Newborn
				  Screening Panel, or another report determined by the department to provide more
				  stringent newborn screening guidelines to protect the health and welfare of
				  this state's newborns;
(2) matters
				  regarding strategic planning, policy, rules, and services related to newborn
				  screening and additional newborn screening tests;
(3) review the necessity of requiring
				  additional screening tests, including an assessment of the test implementation
				  costs to the department, birthing facilities, and other health care providers;
				  and
(4) the scope of the Newborn
				  Screening Advisory Committee is limited under Texas Health and Safety Code,
				  §
										33.017(c),
				  to advising the department regarding strategic planning, policy, rules, and
				  services related to newborn screening tests for each disorder that are included
				  in the list described by Texas Health and Safety Code, §
										33.011(a-1).
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter E - NEWBORN SCREENING FOR CRITICAL CONGENITAL HEART DISEASE › Section 37.75 - Purpose

Current through Reg. 49, No. 28; July 12, 2024
This subchapter implements Texas Health and Safety Code,
					 Chapter 33, administered by the Department of State Health Services
					 (department), associated with conducting point-of-care newborn screening for
					 critical congenital heart disease (CCHD). Newborns delivered in the state must
					 be screened at a birthing facility for CCHD as described in this subchapter.
					 This subchapter also defines the test procedures and standards required by the
					 department for each screening test and details reporting and record keeping
					 requirements on confirmed cases.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter E - NEWBORN SCREENING FOR CRITICAL CONGENITAL HEART DISEASE › Section 37.76 - Definitions

Current through Reg. 49, No. 28; July 12, 2024
The following words and terms, when used in this
					 subchapter, shall have the following meanings, unless the context clearly
					 indicates otherwise.
(1) Birthing
				  facility--An inpatient or ambulatory health care facility that offers
				  obstetrical or newborn care services. The term includes:
(A) a hospital licensed under Texas Health
				  and Safety Code, Chapter 241, that offers obstetrical services;
(B) a birthing center licensed under Texas
				  Health and Safety Code, Chapter 244;
(C) a children's hospital; or
(D) a facility that provides obstetrical
				  services and is maintained and operated by this state or an agency of this
				  state.
Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 37 - MATERNAL AND INFANT HEALTH SERVICES › Subchapter E - NEWBORN SCREENING FOR CRITICAL CONGENITAL HEART DISEASE › Section 37.77 - Exemption from Screen

Current through Reg. 49, No. 28; July 12, 2024
The newborn screening test for CCHD referenced in §
					 37.78 of this title (relating to Test Procedures and Standards) is not required
					 for a newborn under the following conditions:
(1) the parent declines the
				  screening;
(2) the newborn is
				  transferred to another facility before the screening test is
				  performed;
(3) the screening test
				  has previously been completed after birth;
(4) the newborn is discharged from the
				  birthing facility not more than 10 hours after birth and a referral for the
				  newborn was made to another birthing facility, physician, or health care
				  provider;
(5) the newborn has
				  previously been diagnosed with CCHD; or
(6) the newborn has had a post-natal
				  echocardiogram.