The Healthy Texas Women program is a free health and family planning service for eligible low-income women. It helps them plan their families, whether they want to achieve, postpone, or prevent a pregnancy. It also has a positive effect on future pregnancy planning and overall health. The program offers comprehensive medical care, including birth control, pregnancy testing and counseling, and health screenings and treatments for high blood pressure, diabetes and cholesterol.
Texas Health and Human Services requested from the Centers for Medicare Medicaid Services (26%) for a new exemption under Section 1115 of the Social Security Act for a program that would be called the Demonstrative Exemption from Section 1115 of Section 1115 of the Social Security Act for Healthy Women in Texas. This program is called Healthy Texas Women Plus (HTW Plus) and it is an improved, cost-effective and limited package of postpartum care services available to women enrolled in HTW who have been pregnant in the past 12 months. It provides postpartum care services for no longer than 12 months after the enrollment date. The HTW service package includes family planning services, related preventive health services that are beneficial to reproductive health, and other preventive health services that have a positive effect on maternal health and future pregnancies. Healthy Texas Women Plus women will have access to both Healthy Texas Women and Healthy Texas Women Plus benefits. The Healthy Texas Women program is an invaluable resource for low-income women in the state of Texas.
It provides comprehensive medical care, including birth control, pregnancy testing and counseling, and health screenings and treatments for high blood pressure, diabetes and cholesterol. It also offers postpartum care services for up to 12 months after enrollment. This program is designed to help women plan their families, whether they want to achieve, postpone, or prevent a pregnancy. To take advantage of this program, women must meet certain eligibility requirements. These include being a resident of Texas, being between 18-44 years old, having an income at or below 200% of the federal poverty level, not being pregnant at the time of enrollment, not having any other form of health insurance coverage, and not being enrolled in Medicaid or CHIP. To learn more about provider requirements and to find links to enrollment and certification instructions, visit the Healthy Texas Women page on the TMHP website.
You can also view the HTW Texas Medicaid Provider Procedure Manual for a list of covered procedure codes or the drug formulary for the drugs covered for HTW and HTW Plus. To see if a woman is enrolled in the program, call the TMHP care center at 800-925-9126 (option) or check the Texas Medicaid provider section of the TMHP website.