(a) Covered services provided through FPP include:
  (1) contraceptive services;
  (2) pregnancy testing and counseling;
  (3) preconception health screenings for:
    (A) obesity;
    (B) hypertension;
    (C) diabetes;
    (D) cholesterol;
    (E) smoking; and
    (F) mental health;
  (4) sexually transmitted infection (STI) services;
  (5) limited pharmacological treatment for the following chronic conditions:
    (A) hypertension;
    (B) diabetes; and
    (C) high cholesterol;
  (6) breast and cervical cancer screening and diagnostic services:
    (A) radiological procedures including mammograms;
    (B) screening and diagnosis of breast cancer; and
    (C) diagnosis and treatment of cervical dysplasia;
  (7) immunizations;
  (8) limited pharmacological treatment for postpartum depression;
  (9) health history and physical exam;
  (10) mental health counseling/treatment, including:
    (A) individual, family, and group psychotherapy services; and
    (B) psychological testing administration and evaluation;
  (11) health behavior intervention, including:
    (A) screening, brief intervention, and referral for treatment;
    (B) smoking cessation services; and
    (C) medication-assisted treatment;
  (12) cardiovascular and coronary condition management, including:
    (A) cardiovascular evaluation imaging and laboratory studies;
    (B) blood pressure monitoring equipment; and
    (C) antihypertensive medications; and
  (13) diabetes management, including:
    (A) laboratory studies;
    (B) additional injectable insulin options; and
    (C) blood glucose testing supplies.
(b) Non-covered services in FPP include:
  (1) counseling on and provision of abortion services; and
  (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