ANNOUNCEMENTS
This page is intended to provide information to agencies that contract with the Texas Department of State Health Services to provide newborn screening benefits to eligible clients.
Below are the Provider Manual and a Summary of Changes. Very few changes were made to the medication, vitamins and dietary supplements at this time. Other revision may follow as needed. Feel free to call Caeli Paradise at 512-776-3928 if you have any questions.
FY 2012 NBS BENEFITS PROGRAM CONTRACTOR MANUAL
FY 2012 ELIGIBILITY FORMS AND INSTRUCTIONS
FY 2012 MONTHLY BILLING AND REPORT FORMS AND INSTRUCTIONS
FY 2012 OPTIONAL FORMS
Eligibility requirements: Infants, Children & Adults; prioritized by need as funds are available
Infants, Children & Adults; prioritized by need as funds are available
- Income at or below 350% of Federal Poverty Income Level
- Diagnosed with disorder identified by Newborn Screening Program
- Bona fide resident of the State of Texas
- Annual recertification review
- Ineligibility for other programs providing the same services:
- Medicaid recipients
- Children with Special Health Care Needs (eligible if on waiting list)
- Children’s Health Insurance program
- CHIP Perinatal
- Title V Genetic Services
- Private Insurance
Provides
- Dietary Supplements (metabolic foods, low-protein foods)
- Medications
- Vitamins
- Confirmatory testing, evaluation, and follow up care
- Reimbursement to specialists for Telephone Consults
Eligibility determined by NBS Benefits Coordinator: 1-800-252-8023 ext. 7724
Eligible Providers
- Medical Genetic Clinics
- Centers specializing in Metabolic, Endocrine and Hematological Disorders
- Medical Geneticists
- Laboratories that provide confirmatory testing
- Pharmacies that provide vitamins, medications, dietary supplements (metabolic foods)
- Low-protein food manufacturers
Benefits
Presumptive Positive:
Infant eligible for 2 months of formula immediately upon positive results, if eligible
Confirmatory testing
Confirmed Diagnosis:
Evaluation & Management
Follow-up care, including laboratory testing
Remediation services-prescribed dietary supplements, vitamins, &/or
medications, low-protein foods
Open Enrollment Information
2010 Provider Manual [PDF]
Update on Newborn Screening Benefits Open Enrollment [Powerpoint]
NBS Benefits Q&A [PDF]
Questions concerning provider enrollment cannot be answered verbally so please email any questions to Bill Walk
Quick Reference to Newborn Screening Disorders [PDF]
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