5000, Clinical Guidelines

Revision 23-4; Effective Nov. 17, 2023

This section describes the requirements and recommendations pertaining to the delivery of direct HHSC FPP clinical services to clients. In addition to the requirements and recommendations found within this section, grantees must develop protocols consistent with national evidence-based guidelines appropriate to the target population.

All providers must offer the following core family planning services on-site or by referral:

  • Contraceptive services (pregnancy prevention and birth spacing), including but not limited to: 
    • Long-acting reversible contraceptives (LARCs) 
    • Oral contraceptive pills 
    • Three-month (medroxyprogesterone) injections 
    • Sterilizations
  • Pregnancy testing and counseling
  • Health screenings, as follows:
    • Breast cancer screening
    • Cervical cancer screening (Pap smears and other cervical cancer screenings)
    • Screening for hypertension, diabetes, and elevated cholesterol
  • Preconception health (for example, screening for nutrition and obesity, tobacco, and substance use, other high-risk behaviors, social issues and mental health)
  • Sexually transmitted infection (STI) services, as follows:
    • Chlamydia and gonorrhea screening and treatment
    • HIV screening