5000, Clinical Guidelines

Revision 24-2; Effective Oct. 15, 2024

This section describes the requirements and recommendations about the delivery of direct HHSC FPP clinical services to clients. In addition to the requirements and recommendations in 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 such as pregnancy prevention and birth spacing, including:
  • long-acting reversible contraceptives (LARCs)
  • oral contraceptive pills
  • three-month medroxyprogesterone injections
  • sterilizations
• Pregnancy testing and counseling
• Preconception health screenings for:
  • nutrition and obesity
  • hypertension
  • diabetes
  • cholesterol
  • smoking
  • substance use
  • other high-risk behaviors
  • social issues, non-medical drivers of health
  • mental health
• Sexually transmitted infection (STI) services, as follows:
  • syphilis, chlamydia and gonorrhea screening and treatment
  • HIV screening
• Limited pharmacological treatment for the following chronic conditions:
  • hypertension
  • diabetes
  • high cholesterol
  • postpartum depression
• Breast and cervical cancer screenings and diagnostic services, as follows:
  • radiological procedures including mammograms
  • screening and diagnosis of breast cancer
  • diagnosis and treatment of cervical dysplasia
• Immunizations
• Health behavior intervention, including:
  • screening, brief intervention and referral for treatment
  • smoking cessation services
  • medication-assisted treatment
• Cardiovascular and coronary condition management, including:
  • cardiovascular evaluation imaging and laboratory
  • blood pressure monitoring equipment
  • antihypertensive medications
• Diabetes management, including:
  • laboratory studies
  • additional injectable insulin options
  • blood glucose testing supplies