Title V Genetics Contractors
Title V Genetic Fee-for-Service funds selected public and private contractors to provide clinical genetic services to eligible clients. To be eligible to receive Title V funded services, individuals must meet the following criteria:
- Gross family income at or below 185% of the most current Federal Poverty Income Level (FPL);
- Texas resident; and
- Not eligible for other programs/benefits providing the same services.
This page is intended to provide information to agencies that contract with the Texas Department of State Health Services to provide genetic services to Title V eligible clients.
FY2011 TITLE V GENETIC FEE-FOR-SERVICES POLICIES AND PROCEDURES MANUAL
FY2011 ELIGIBILITY FORMS AND INSTRUCTIONS
- DSHS FUNDING SOURCE-Screening and Eligibility Form
- DSHS FUNDING SOURCE-Screening and Eligibility Worksheet
- Eligibility and Benefits by Federal Poverty Level (FPL)
- Statement of Applicant's Rights and Responsibilities
- Presumptive Eligibility-Title V Genetic Services
- Presumptive Eligibility Instructions
- Notice of Eligibility-Title V Genetic Services
- Notice of Eligibility Instructions
FY2011 MONTHLY BILLING AND REPORT FORMS AND INSTRUCTIONS
- Title V Genetic Services Procedure Code Report Forms
- Monthly New Client Report for Title V Genetic Services
- State of Texas Purchase Voucher
FY2011 OPTIONAL FORMS
- Request for Information
- Statement of Self-Employment Income
- Employment Verification-Title V Genetic Services
TITLE V GENETIC SERVICES ON-SITE REVIEW CRITERIA
|Children with Special Health Care Needs (CSHCN)
DSHS administered program that provides services to children under 21 who have extraordinary medical needs, disabilities, and chronic health conditions.
|Client Services Contracting Unit
DSHS web site for frequently asked contracting questions and a list of contact numbers for specific questions.
|County Indigent Health Care Program (CIHCP)
DSHS administered program that provides health services to eligible residents through counties, hospital districts, and public hospitals in Texas.
|Literature anf Forms Inquiry & Order Entry System||http://webds.dshs.state.tx.us/mamd/litcat/
|Newborn Screening (NBS)
Texas newborns are required to be screened for certain disorders during the birth admission. DSHS maintains a NBS laboratory and provides case management services.
|Primary Health Care Program (PHCP)
DSHS administered program that provides primary health services to persons at or below 150% of the Federal Poverty Income Level who do not qualify for other health programs.
Umbrella organization for Medicaid for Texas Children and Children’s Health Insurance Program (CHIP).
|Quality Monitoring Branch
Responsible for assuring that contractors funded by DSHS meet standards and requirements of the department.
||1-888-963-7111 extension 2187|
|Women, Infants and Children Program (WIC)
Federal supplemental nutrition program administered by DSHS in Texas.
STATE AND FEDERAL POLICY/LEGISLATION
Texas Administrative Code - Genetic Services - rules for the provision of family planning genetic services in Texas.
Senate Bill 602 (76(R), 1999) - relates to the membership and powers of the Interagency Council for Genetic Services (IACGS). Requires DSHS to coordinate with the Council for initiating, considering, or proposing a rule relating to human genetics or human genetic services. Title V Genetics Fee-for-Service contractors are represented on the Council.
Senate Bill 11, Medical Records Privacy Act (77(R), 2001) – relates to protecting the privacy of medical records.
Texas Legislature Online – search/track filed bills and actions.
HIPAA, Health Insurance Portability and Accountability Act of 1996 – relates to the standards of protection for the storage, use and transfer of protected health information. Title II of HIPAA includes the Administrative Simplification provisions: electronic transactions and codes sets, unique identifiers, privacy, and security.
THOMAS – search/track Federal legislation. Site sponsored by The Library of Congress.
External links to other sites are intended to be informational and do not have the endorsement of the Texas Department of State Health Services. These sites may also not be accessible to persons with disabilities.