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    TB and Hansen's Disease Branch

    MC 1939
    P.O. Box 149347
    Austin, TX 78756-9347

    Phone: 512-533-3000
    Fax: 512-533-3167


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Tuberculosis (TB)

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TB Program News and Announcements


The Tuberculosis and Hansen’s Disease Branch encourages local health department TB programs to enroll in Medicaid as a TB Medicaid Provider.

Information on the enrollment process for first time enrollees can be found on the Texas Medicaid and Healthcare Partnership (TMHP) website (www.tmhp.com/Pages/ProviderEnrollment/PE_Home.aspx).

Clinics requesting reimbursement for TB services must also enroll as a TB Medicaid Provider. To enroll, the clinic must apply for a DSHS letter verifying their TB services, and may attach the letter to their Medicaid application. To apply for the letter, clinics may fill out the Medicaid Provider Application which may be downloaded from the TB forms page.

Updated 9/8/2017


TB in Correctional Facilities

The Texas Department of State Health Services (DSHS) Tuberculosis Services Branch collects, compiles and analyzes tuberculosis screening activity reported by jails meeting Texas Health and Safety Code Chapter 89 criteria.  The Annual Tuberculosis Screening Report reflects these screening results for jails meeting the statutory criteria and is now available for viewing or download.

Posted 4/6/2017


The revised Standing Delegation Orders and Standing Medical Orders for Tuberculosis Prevention and Control for FY 2018 are now available.

The Standing Delegation Orders (SDOs) and Standing Medical Orders (SMOs) are written instructions, orders and procedures prepared by the Department of State Health Services Tuberculosis and Refugee Health Services Branch to promote consistent evaluation and treatment practices for persons with suspected or confirmed TB.

The purpose of this document is to provide authority for specific acts of tuberculosis (TB) clinical services under authority of Rule Title 22, Texas Administrative Code §193.2, Standing Delegation Orders.

The intended audience for the SDOs and SMOs includes physicians, registered nurses, licensed vocational nurses, non-licensed staff working in DSHS Health Service Regions. These orders are being shared with local health department TB programs as a resource document only.  

The revised Standing Delegation Orders and Standing Medical Orders for Tuberculosis Prevention and Control are effective September 1, 2016.

Posted 9/2/2016


Tuberculosis in Texas

In 2016, 1,250 cases of tuberculosis (TB) were reported in Texas, a rate of 4.5 per 100,000 population. TB can affect anyone but is more likely to be diagnosed in persons born in a foreign country where TB is prevalent, persons living with diabetes or HIV/AIDS, persons who abuse alcohol and other drugs, persons who live in congregant settings (including prisons and other detention centers), the homeless, and health care workers Learn more...

Posted 9/19/2017


Congregate Setting Target Testing

On May 13, 2014, the Texas Department of State Health Services (DSHS) Tuberculosis and Refugee Health Services Branch released new guidelines for congregate setting target testing. The guidelines were issued in recognition of the importance of screening activities among high-risk populations and treatment for TB infection as essential components in TB elimination programs. Submission of a Congregate Setting Target Testing Monthly Report is now required under these guidelines

Posted 5/16/2014


Cohort Review Implementation

In March 2013, the Tuberculosis Services Branch implemented the cohort review system in Texas. A cohort review is a systematic and retrospective review of the management of TB cases and contacts. It is an effective management tool that identifies trends impacting outcomes and provides the impetus for developing systems that enhance program performance.

It is the policy of the Tuberculosis Services Branch that in order to promote optimal case management and contact investigation practices statewide, DSHS health service regions and contracted local health department TB programs will hold quarterly cohort reviews. DSHS health service regional TB programs will work with low morbidity public health jurisdictions to implement the cohort review process. The Health Service Regions' Tuberculosis Cohort Review Infrastructure form (PDF : 67 kB) provides the reporting framework for the cohort reviews.

Please refer to the Cohort Review Policy (PDF : 45 kB) for further information.

The followings tools are available to conduct the cohort review and report findings to DSHS Tuberculosis Program Services Branch:

For help completing the summary form, download An Overview of the Cohort Review Summary Form (PDF : 141 kB).

Updated 11/10/2015


Last updated September 20, 2017