• DSHS HIV/STD Program

    Post Office Box 149347, MC 1873
    Austin, Texas 78714

    Phone: (737) 255-4300

    Email the HIV/STD Program

    Email data requests to HIV/STD Program - This email can be used to request data and statistics on HIV, TB, and STDs in Texas. It cannot be used to get treatment or infection history for individuals, or to request information on programs and services. Please do not include any personal, identifying health information in your email such as HIV status, Date of Birth, Social Security Number, etc.

    For treatment/testing history, please contact your local Health Department.

    For information on HIV testing and services available to Persons Living with HIV and AIDS, please contact your local HIV services organization.

POPS Chapter 17 - Health Insurance Program Standards


Reference: HIV/STD Policy No. 260.002

 

17.1 Service Assembly

  • The agency has documentation to show that the Assembly allocated funds to the health insurance program, according to the local needs assessment identification.

  • The agency has documentation of any eligibility criteria developed by the Assembly in addition to DSHS’s.

 

17.2 Confidentiality

The agency has a procedure on file for paying health insurance providers while protecting the client’s confidentiality with regard to HIV status.

 

17.3 Case Management

  • The case file has documentation that client meets eligibility criteria required by the DSHS

  • The case file has documentation that the client meets Assembly eligibility criteria, if any

  • The case file has documentation that the case manager assessed the client’s health insurance coverage and eligibility for the health insurance program at the time of the intake

  • The case file has documentation that the client knows of the responsibility to report changes in income, insurance status, or other relevant information (e.g., change of insurance carrier, premium rates)

  • The case file has documentation that the case manager re-evaluates the client’s needs on a periodic basis

  • The case file contains the necessary information about the insurance provider (payee, address, verified premium amount), the amount of assistance for which the client is eligible and when payments were made.


 

Subchapters

17.1 Service Assembly

17.2 Confidentiality

17.3 Case Management

Last updated May 7, 2020