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    DSHS HIV/STD Program

    Post Office Box 149347, MC 1873
    Austin, Texas 78714

    Phone: (512) 533-3000

    E-mail the HIV/STD Program

    E-mail data requests to HIV/STD Program

    DSHS strives to respond to all email requests in a timely manner. It is important to note, however, that messages that you send to us by email may not be secure and may be intercepted by a third party. Therefore, we recommend that you do not send any confidential health information to us by email.

HIV-STD Program Policies

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Number

Title

Established

Last Revised

Global Policies Affecting All Programs

2011.01

TB/HIV/STD and Viral Hepatitis Unit Confidential Information Security Policy

7/2008

3/2013

2011.03

TB/HIV/STD and Viral Hepatitis Unit Confidentiality Agreement (PDF : 177 kb)

7/2008

7/2015

2011.04

TB/HIV/STD and Viral Hepatitis Unit Breach of Confidentiality Response Policy

7/2008

3/2012

2012.01

TB/HIV/STD and Viral Hepatitis Unit Overall Responsible Party for TB/HIV/STD Surveillance Data

4/2008

3/2013

2012.03

TB/HIV/STD and Viral Hepatitis Unit Alternative Worksite Procedure Due to Power Outage, HVAC System Failure and Other Temporary Environmental Factors

12/2012

12/2012

2013.01

Ryan White Part B/State Funded Services in Special Care Facilities Policy

6/2013

 

2013.02

The Use of Testing Technology to Detect HIV Infection

1/2014

9/2014

2015.01 Temporary Access Badges

2/2015

 

035.001

Model Education Program for use by Employers to Educate Employees about the HIV Disease and its Progressive Stages

9/1997

7/2001

090.001

Roles and Responsibilities of the Bureau Regarding Contractors

6/1998

 

090.002

HIV Client Services Funding Allocation Formula

2/2005

 

090.010

Contract Monitoring

10/1997

 

090.020

Model Policies for Handling, Caring, and Treating Persons Infected with a Sexually Transmitted Disease (Including HIV/AIDS) While in the Custody, Supervision or Care of Correctional, Law Enforcement, and/or Emergency Service Entities

8/2002

12/2002

090.021

HIV/AIDS Model Workplace Guidelines for Business, State Agencies, and State Contractors

1/1990

11/2004

120.100

HIV Testing of Pregnant Women

11/1995

7/2009

300.001

Overall Responsible Party for HIV/AIDS Surveillance Data

7/2008

 

302.001

Release of TB/HIV/AIDS and STD Data

4/1999

9/2014

302.002

Data Release Agreement (Word : 37 kb)

4/1999

7/2008

303.001

HIV/STD Breach of Confidentiality Response Policy

2/1999

9/2010

303.002

Breach Report Form (Word : 83 kb)

2/1999

4/2012

303.003

Breach Report Form Instructions (PDF : 66 kb)

2/1999

7/2008

500.002

Environmental Tobacco Smoke, Contractor Assurance

12/1995

 

500.003

Contractor Use of Equipment and Supplies, Contractor Assurance

3/1996

9/1996

500.005

Contractor Review of HIV/AIDS-Related Written and/or Pictorial Materials for Public Use

5/1999

12/2007

520.001

Consultant Services and Consulting Fees Paid by a Contractor Through Direct Cost

8/1997

 

520.002

Staff Education, Association Memberships, Training Fees and Insurance Payments Using Contract Funds

8/1999

5/2000

522.001

Reimbursements To Volunteers Involved In Community Planning Or Direct Client Service

4/1998

10/2002

525.001

Enforcement of Year End Requirements for DSHS Contracts

2/1999

5/1999

530.001

Reporting Suspected Abuse and Neglect of Children

9/1997

3/2008

530.002

Unit Expectations and Provider Rights Regarding the Delivery of Client Service

6/1998

9/2001

530.003

How to Deal with Clients Who Threaten to Harm Themselves or Others

9/2001

1/2002

530.004

Legal Planning and the Client/Provider Relationship

3/1997

9/2001

540.001

Sanctions Imposed Upon a Contractor for Non-Compliance with Contracts Involving State/Federal Funds

12/1997

4/1998

540.002

Sanctioning an HIV/STD Contractor for Subcontractor Noncompliance

1/2001

 

590.001

Payor of Last Resort

9/1994

6/2007

591.000

Limitations on Ryan White and State Services Funds for Incarcerated Persons in Community Facilities Policy

12/2013

 

800.001

Standard Precautions, Preventing the Spread of HIV, TB, & Hepatitis B in Employees of HIV/STD Funded Programs

3/1997

11/2002

800.003

Minimum Standards for Clinical Services for HIV/AIDS Projects

10/1997

5/2000

800.004

Clinical Practice Guidelines for HIV-Infected Pregnant and Non-Pregnant Adults

10/1997

5/2000

800.005

Phlebotomy Training for Contractor Staff Responsible for HIV/STD Testing

10/1997

5/2000

900.001

Informed Consent for HIV in a Routine Testing Environment

9/2010

9/2010

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DSHS General Consent and Disclosure form (Form L-36) (PDF : 79 kb)

 

2/2013

 

 

Number

Title

Established

Last Revised

HIV and STD Prevention Programs

110.001

HIV/STD Guidelines

8/1997

 

110.002

HIV and STD Prevention Activities in State Prisons and Jails, Federal Prisons and Private Prisons

5/1998

8/1998

110.003

Prevention Activities Provided to State Agencies by the TB/HIV/STD/Viral Hepatitis Unit its Contractors

4/1999

7/1999

130.001

Condom Distribution for Non-Contracting Prevention Sites

12/1994

6/2006

150.001

HIV Prevention Community Planning Guidance for Use by Community Planning Groups

11/1998

 

150.002

Bylaws for HIV Prevention Community Planning Groups

11/1998

2/1999

150.003

Selection and Removal of Texas Department of State Health Services Designated Co-Chair Serving on an HIV Prevention Community Planning Group

11/1998

2/1999

150.004

Community Planning Group Membership Selection to Ensure Parity, Inclusion and Representation

11/1998

 

150.005

Resolution of Conflict of Interest within Community Planning Groups

4/1999

 

151.001

Criteria for Operating as an HIV Prevention Community Planning GroupSecurity and Confidentiality Agreement

11/1998

 

 

 

Number

Title

Established

Last Revised

HIV Health and Social Services Programs

220.001

Eligibility to Receive HIV Services
Required financial eligibility forms:

UPDATE (7/1/2015): The IRS system for requesting tax return transcripts online is currently unavailable. Tax return transcripts can be requested by mail by completing Form 4506 (PDF) [IRS] or by calling 1-800-908-9946. IRS instructions for obtaining tax transcript. [IRS]

7/2006

1/2013

220.100

Purchasing Emergency Medications for Clients Awaiting an Eligibility Decision from the Texas HIV Medication Program

5/1996

5/2000

220.101

Purchasing Prescription or Over-the-counter Medications And Vitamins Not Covered by a Third-Party Payor

3/1998

5/2000

231.000

ARIES User Policy

6/2006

8/2010

231.001

ARIES Security Policy

8/2010

 

231.002

ARIES Data Managers Core Competencies

3/2000

8/2010

231.003

ARIES Data Improvement Plan

8/2010

 

231.004

Documenting Case Management Actions in ARIES

3/2010

8/2010

241.001

Administrative Agency Roles and Responsibilities

10/1996

6/2006

241.003

Subcontracting HIV Health and Support Services

2/2005

6/2006

241.004

Administrative Agency Requirements for Community Input

6/2006

 

241.005

Conflict of Interest in Administrative Agencies

6/2006

 

241.006

Reallocation of HIV Client Services Funds

8/2006

5/2011

260.001

Care for Children Affected by HIV/AIDS, Using State Services Funds

10/1998

5/2003

260.002

HIV Health Insurance Assistance

11/1998

4/2009

260.003

HIV Health Insurance Assistance Waiver Request Form (Word : 443 kb)

4/2009

 

 

 

Number

Title

Established

Last Revised

Sexually Transmitted Disease Programs

023.001

STD Medication and Phlebotomy Supply Distribution

7/1995

7/2001

023.002

STD Medication Allocation Formulary, Including Managing Cephalosporin Allergy

7/1995

11/1997

410.001

Hepatitis B Vaccination for Adolescents

9/1997

11/2003

410.003

Accelerated HIV Intervention Program, Addressing the Potential for Recalcitrant Transmission of HIV in Texas

8/2000

11/2001

 

 

Number

Title

Established

Last Revised

Texas HIV Medication Program

700.001

Texas HIV Medication Program, Requests to Change State HIV Medication Formulary

1/1996

4/2015

700.002

Rights of the Texas HIV Medication Program to Limit the Number of Clients Assigned to a Pharmacy

10/1996

4/2015

700.003

HIV/STD Medication Program Pharmacy Eligibility Criteria

6/1997

4/2015

700.004

HIV Medications Ordering Process for Pharmacies

3/1997

4/2015

700.005

Medicare Part D

6/2006

4/2015

 

For more information or questions about HIV/STD Program policies e-mail Shari Freteluco.


Last updated July 20, 2015