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December 2016 Texas Medicaid Provider Procedures Manual

Women’s Health Services Handbook : 3 Health and Human Services Commission (HHSC) Family Planning Program Services : 3.2 Services, Benefits, Limitations, and Prior Authorization : 3.2.9 Sterilization and Sterilization-Related Procedures

Per federal regulation 42 CFR 50, Subpart B, all sterilization procedures require an approved Sterilization Consent Form.
Refer to:
Refer to:
Sterilization Consent Form Instructions on the TMHP website at

Texas Medicaid & Healthcare Partnership
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