Revision 25-2; Effective March 25, 2025
| Section | Title | Change |
|---|---|---|
| Appendix II | Optional Co-Pay Table Based on Monthly Federal Poverty Level (FPL) | Updates Optional Co-Pay Table Based on Monthly Federal Poverty Level (FPL). |
Revision 25-1; Effective Jan. 31, 2025
| Section | Title | Change |
|---|---|---|
| 3100 | Accessibility | Updates language. |
| 3200 | Abuse and Neglect Reporting | Updates language. |
| 3310 | Civil Rights | Updates language. |
| 3700 | Emergency Responsiveness | Updates language. |
| 5300 | Perinatal Clinical Guidelines | Updates language. |
| 5310 | Initial Prenatal Visit Requirements | Updates language. |
| 5400 | Child and Adolescent Clinical Guidelines | Updates language. |
Revision 24-2; Effective Sep. 30, 2024
| Section | Title | Change |
|---|---|---|
| 1200 | Purpose of Manual | Adds program acronym. |
| 2100 | Program Authorization and Services | Clarified how states are required to use TVFFS federal funds and updated abbreviation of program name to TVFFS |
| 2200 | Definitions | Updates language from client to subrecipient. Updates definitions of teledentistry, telehealth and telemedicine. |
| 3100 | Administrative Policies | Changes title to Accessibility. Updates language. |
| 3200 | Abuse and Neglect Reporting | Updates text and deletes certain definitions. Adds resource information. |
| 3300 | Confidentiality | Updates HIPPA resources. |
| 3310 | Civil Rights | Adds section. |
| 3320 | Required Signage | Adds section. |
| 3330 | Complaints and Termination of Services | Adds section. |
| 3340 | Research (Human Subjects Clearance) | Adds section. |
| 3400 | Client Records Management | Updates language. |
| 3500 | Personnel Policies and Procedures | Updates language. |
| 3600 | Facilities and Equipment | Updates language. |
| 3700 | Emergency Responsiveness | Updates language. |
| 3800 | Quality Management | Updates language. |
| 4100 | Eligibility and Assessment of Co-pay and Fees | Updates and clarifies language. |
| 5100 | General Consent | Updates language. Includes resources for HIV testing consent requirements. |
| 5200 | Clinical Policy | Defines requirements for telemedicine. Updates language. |
| 5300 | Perinatal Clinical Guidelines | Updates language. Updates ACOG-recommendations for depression and anxiety screening |
| 5310 | Initial Prenatal Visit Requirements | Updates language. |
| 5320 | Return Prenatal Visits Requirements | Updates language. |
| 5330 | Postpartum Visits Requirements | Updates language. |
| 5340 | Perinatal Dental Services | Updates procedure code limitations and education requirements. |
| 5400 | Child and Adolescent Clinical Guidelines | Updates language. Updates health history requirements and laboratory guidelines. |
| 5410 | Child and Adolescent Dental Services | Updates language. Updates procedure code limitations and education requirements. |
| 5500 | Prescriptive Authority Agreements, Clinical Protocols and Standing Delegation Orders | Updates language. |
| 6100 | Reimbursement, Data Collection and Reports | Updates language. |
The following forms were revised in the Title V Maternal and Child Health Fee-for-Service Program Policy Manual:
| Form No. | Title | Change |
|---|---|---|
| Form 3012 | Notice of Eligibility | Changes title of form to Verification of Eligibility. Adds form to handbook. |
| Form 3029 | PHC and Title V MCH FFS Application for Program Benefits | Revises form. |
| Form 3045 | Presumptive Eligibility Notice | Revises form. Deletes instructions. |
| Form 3046 | Statement of Applicant's Rights and Responsibilities | Deletes form from handbook. |
| Form 3048 | Notice of Eligibility | Deletes form from handbook. |
| Form 3056 | Request for information | Deletes form from handbook. |
Revision 24-1; Effective May 1, 2024
The following change(s) were made:
| Revised | Title | Change |
|---|---|---|
| Appendix II | Optional Co-Pay Table Based on Monthly Federal Poverty Level (FPL) | Updates Appendix II, Optional Co-Pay Table Based on 2024 Monthly Federal Poverty Level (FPL). |