1. (a) Covered services provided through FPP include:

   1. (1) contraceptive services;
   2. (2) pregnancy testing and counseling;

   3. (3) preconception health screenings for:

      1. (A) obesity;
      2. (B) hypertension;
      3. (C) diabetes;
      4. (D) cholesterol;
      5. (E) smoking; and
      6. (F) mental health;
   4. (4) sexually transmitted infection (STI) services;

   5. (5) limited pharmacological treatment for the following chronic conditions:

      1. (A) hypertension;
      2. (B) diabetes; and
      3. (C) high cholesterol;

   6. (6) breast and cervical cancer screening and diagnostic services:

      1. (A) radiological procedures including mammograms;
      2. (B) screening and diagnosis of breast cancer; and
      3. (C) diagnosis and treatment of cervical dysplasia;
   7. (7) immunizations;
   8. (8) limited pharmacological treatment for postpartum depression;
   9. (9) health history and physical exam;

   10. (10) mental health counseling/treatment, including:

       1. (A) individual, family, and group psychotherapy services; and
       2. (B) psychological testing administration and evaluation;

   11. (11) health behavior intervention, including:

       1. (A) screening, brief intervention, and referral for treatment;
       2. (B) smoking cessation services; and
       3. (C) medication-assisted treatment;

   12. (12) cardiovascular and coronary condition management, including:

       1. (A) cardiovascular evaluation imaging and laboratory studies;
       2. (B) blood pressure monitoring equipment; and
       3. (C) antihypertensive medications; and

   13. (13) diabetes management, including:

       1. (A) laboratory studies;
       2. (B) additional injectable insulin options; and
       3. (C) blood glucose testing supplies.

2. (b) Non-covered services in FPP include:

   1. (1) counseling on and provision of abortion services; and
   2. (2) other services that cannot be appropriately billed with a permissible procedure code.

Source Note:The provisions of this §382.113 adopted to be effective July 1, 2016, 41 TexReg 4630; amended to be effective May 16, 2024, 49 TexReg 3199.