The Texas Medicaid Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program is a Title XIX federally mandated program of prevention, diagnosis, and treatment for Medicaid clients from birth through age 20. In Texas, EPSDT is known as the Texas Health Steps (THSteps) Program. Required laboratory specimens, with the exception of testing related to hyperlipidemia and type 2 diabetes, obtained during a THSteps preventive medical checkup must be submitted to the Texas Department of State Health Services (TDSHS) Laboratory and are paid for by the THSteps program.
The HIV/STD Program encompasses prevention activities supported by the Bureau of HIV and STD Prevention (Bureau). These include HIV/STD/HCV counseling and testing, disease investigation and follow-up, prevention counseling and partner management. Agencies eligible to submit specimens for chlamydia/gonorrhea testing through the HIV/STD program are STD clinics, Infertility Prevention Project Sentinel Sites, or agencies examining a client for STDs at the request of an STD program. Agencies eligible to submit specimens for HIV and/or syphilis testing are STD clinics, agencies examining a client at the request of an STD program, and Bureau prevention contractors. Agencies eligible to submit specimens for HCV testing are Bureau HCV contractors or other agencies having prior Bureau approval to submit HCV tests at the Bureau’s expense.
The Immunization Division works with regional TDSHS programs and local health departments to ensure prompt reporting, investigating, laboratory testing, and implementation of control measures for vaccine-preventable diseases (measles, mumps, rubella, CRS, pertussis, hepatitis B, perinatal hepatitis B, tetanus, paralytic polio, diphtheria, invasive Haemophilus influenza typeB, and varicella).
Infectious Disease Epidemiology and Surveillance Division (IDEAS)
The IDEAS Division is responsible for assisting local and regional public health officials in investigating outbreaks of acute nonprogrammatic infectious diseases (e.g. foodborne, respiratory, and bloodborne pathogens). The IDEAS program conducts routine surveillance of diseases designated by the Board of Health as reportable.
TX CLPPP-Childhood Lead Poisoning Prevention Program
The Texas Childhood Lead Poisoning Prevention Program manages the childhood lead poisoning surveillance program which includes a registry of Texas children and their blood lead levels; a program to ensure follow-up of children with elevated blood lead levels; and appropriate investigation, education, and intervention to prevent additional incidents of childhood lead poisoning.
Refugee Health Screening Program
The DSHS Refugee Health Screening Program (RHSP) brings newly arrived official refugees and other program-eligible legal immigrants into the public health system for evaluation for conditions of public health importance or which would impede a refugee's resettlement process. Health assessment, health education, immunizations, limited treatments, and/or referrals for identified problems are provided.
Newborn Screening Case Management Program
The Newborn Screening (NBS) Case Management Program follows up on the abnormal newborn screens and ensures that babies with abnormal tests are evaluated by a physician, confirmatory testing is done and treatment is started if a diagnosis is confirmed. Specimens for NBS reference testing and DNA studies may be submitted to the DSHS laboratory.
Title V - Child Health and Dental
The Maternal and Child Health Fee For Service (MCH FFS) contractors provide primary and preventive care to children from birth to 21 years of age (e.g., well child care, some acute child care, and dental services for children) who are at or below 185% of the Federal Poverty Income (FPIL), reside in Texas, and are not covered under another funding source for the same services.
Title V - Dysplasia
The Breast and Cervical Cancer Services (BCCS) contractors provide Title V funded adult cervical dysplasia treatment services for women 18 – 64 years of age who are at or below 200% of the Federal Poverty Income Level (FPIL), reside in Texas, and are not covered under another funding source for the same services.
Title V - Family Planning
The Title V Family Planning (FP) Program provides family planning services to females 12 years to 45 years of age, other potentially fertile women age 45 years and older, and males 21 years of age or older seeking a vasectomy who are at or below 185 % of the Federal Poverty Income Level (FPIL), reside in Texas, and are not covered under another funding source for the same services.
Title V - Prenatal Care
The Title V Maternal and Child Health Fee For Service (MCH FFS) contractors provide primary and preventive care to pregnant women and children from birth to 21 years of age who are at or below 185% of the Federal Poverty Income (FPIL), reside in Texas, and are not covered under another funding source for the same services.
Title X (Public Health Services Act 42 U.S.C. '300 et seq) family planning funding is used to develop and maintain infrastructure for contractors. The funding can be used to support payment for clinic facilities, staff salaries, utilities, medical and office supplies, equipment, and travel, as well as direct medical services for reproductive health. Contract agencies bill on a monthly basis using a cost-reimbursement allocation.
Title XX (Social Services Block Grant of the Social Security Act) family planning funding is used for individual and community-wide educational activities as well as for direct medical care for reproductive health. Contractors bill for Title XX reimbursable services on a fee-for-service basis.
The Tuberculosis Elimination Division assists local and regional health departments to identify and provide treatment for people in Texas with tuberculosis disease, to identify people with latent tuberculosis infection through contact investigations and targeted tuberculosis screening programs, and to provide treatment for people with latent tuberculosis infection. Agencies submit specimens to TDSHS laboratories to confirm a diagnosis of tuberculosis disease, to screen for resistance for anti-tuberculosis medications, to monitor response to treatment, and to identify the strain of bacteria for epidemiological surveillance studies.
The Zoonosis Control Division is responsible for the control and prevention of diseases that are transmittable from animals to people (including, among others, rabies, West Nile and other arboviruses, hantavirus, and plague) through arthropod and animal surveillance, human case investigations, education and consultation, outbreak investigation, and implementation of control measures.
Only use this box if you have contracted to do a special study with a DSHS program that is not already listed and indicate which program you are working with.