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20.2 Family Planning Providers
TMHP processes family planning claims and encounters for four different funding sources administered through DSHS and HHSC. These funding sources include Title V, X, XIX (Medicaid, including the Women's Health Program), and Title XX. Agencies across Texas are awarded contracts for Titles V, X, and XX to provide services to low-income individuals who may not qualify for Medicaid services. These awards are granted through a competitive procurement process. DSHS contracts with a variety of providers, including local health departments, universities and medical schools, private nonprofit agencies, rural health clinics (RHCs), and hospital districts. Some contractors receive more than one type of funding. All contractors serve Medicaid-eligible individuals. Client eligibility requirements, reimbursement methodologies, client copayment guidelines, and covered services differ for each funding source. Family planning funding is not used to provide abortion services.
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