Primary and Secondary Service Categories print version
Texas Department of State Health Services, HIV Care Services Group – HIV/STD Program | Texas DSHS
Core Medical Services
Early Intervention Services (EIS):
| Subcategories |
Service Units |
| Early Intervention Service |
Per visit |
Health Insurance Premium and Cost-Sharing Assistance for Low-Income Individuals (HIA):
| Subcategories |
Service Units |
| Dental Co-Insurance |
Per payment |
| Dental Co-Payment |
Per payment |
| Dental Deductible |
Per payment |
| Dental Premium |
Per month |
| Health Insurance Premium and Cost-Sharing Assistance |
Per payment |
| Medical Co-Insurance |
Per payment |
| Medical Co-Payment |
Per payment |
| Medical Deductible |
Per payment |
| Medical Premium |
Per month |
| Pharmacy Co-Payment |
Per prescription |
Home and Community-Based Health Services (HCBHS):
| Subcategories |
Service Units |
| Durable Medical Equipment |
Per item |
| Home and Community-Based Health Services |
Per visit |
| Para-Professional Care |
Per visit |
| Professional Care |
Per visit |
Home Health Care:
| Subcategories |
Subcategories Service Units |
| Home Health Care |
Per visit |
| Home Health Specialized Care |
Per visit |
Hospice Services:
| Subcategories |
Service Units |
| Hospice Care – Facility Based |
Per day |
| Hospice Care – Home |
Per visit |
| Hospice Services |
Per payment |
Local Pharmaceutical Assistance Program (LPAP):
| Subcategories |
Service Units |
| Local Pharmaceutical Assistance Program |
Per prescription |
Medical Case Management, including Treatment Adherence Services (MCM):
| Subcategories |
Service Units |
| Intake – Medical Case Management |
Per 15 minutes |
| Medical Case Management (Including Treatment Adherence Services) |
Per 15 minutes |
| Medical Case Management Recertification |
Per 15 minutes |
| Plan Reevaluation |
Per 15 minutes |
| Service Coordination and Medical Follow-up |
Per 15 minutes |
| Treatment Adherence Counseling |
Per 15 minutes |
Medical Nutrition Therapy (MNT):
| Subcategories |
Service Units |
| Medical Nutrition Therapy |
Per 15 minutes |
| Medical Nutrition Therapy – Counseling |
Per 15 minutes |
| Medical Nutrition Therapy – Supplements |
Per transaction |
Mental Health Services (MH):
| Subcategories |
Service Units |
| Group |
Per visit |
| Individual |
Per visit |
| Mental Health Services |
Per visit |
| Psychiatric Evaluation |
Per visit |
| Psychiatric Follow-Up |
Per visit |
Oral Health Care (OH):
| Subcategories |
Service Units |
| Dental History |
Per visit |
| Oral Health Care |
Per visit |
| Periodontal Screening |
Per visit |
| Prophylaxis |
Per visit |
| Routine Treatment |
Per visit |
| Specialty |
Per visit |
| X-rays |
Per payment |
Outpatient/Ambulatory Health Services (OAHS):
| Subcategories |
Service Units |
| Acute Care Visit |
Per visit |
| CD-4 T-Cell Count |
Per test |
| Dermatology |
Per visit |
| Developmental Assessment for Infants/Children |
Per visit |
| Developmental Intervention for Infants/Children |
Per visit |
| Infectious Disease |
Per visit |
| Intravenous (IV) Administration |
Per visit |
| Laboratory Service |
Per test |
| Neurology |
Per visit |
| Obstetrics/Gynecology |
Per visit |
| Oncology |
Per visit |
| Ophthalmology |
Per visit |
| Other Specialty |
Per visit |
| Outpatient/Ambulatory Health Services |
Per visit |
| Radiology |
Per test |
| Telemedicine Services |
Per visit |
| Vaccine Administration |
Per visit |
| Viral Load Test |
Per test |
Substance Abuse Outpatient Care:
| Subcategories |
Service Units |
| Group Counseling |
Per visit |
| Individual Counseling |
Per visit |
| Intake |
Per visit |
| Medication Treatment Maintenance |
Per visit |
| Medication-Assisted Detoxification |
Per visit |
| Substance Abuse Services – Outpatient |
Per visit |
Support Services
Child Care Services:
| Subcategories |
Service Units |
| Child Care Services |
Per hour |
Emergency Financial Assistance (EFA):
| Subcategories |
Service Units |
| Food |
Per visit |
| Housing |
Per transaction |
| Medication |
Per transaction |
| Other Allowable Healthcare Cost |
Per transaction |
| Utilities |
Per transaction |
Food Bank/Home-Delivered Meals:
| Subcategories |
Service Units |
| Food Bank/Home-Delivered Meals |
Per visit |
| Food Pantry/Voucher Visit Without Nutritional Supplements |
Per visit |
| Food Pantry/Voucher Visit With Nutritional Supplements |
Per bottle |
| Meals – Home-Delivered |
Per person per meal |
| Meals – Congregate |
Per person per meal |
Health Education/Risk Reduction (HE/RR):
| Subcategories |
Service Units |
| Group-Level Intervention |
Per 15 minutes |
| Health Education/Risk Reduction |
Per 15 minutes |
| Prevention Case Management – Individual |
Per 15 minutes |
Housing:
| Subcategories |
Service Units |
| Care Services Housing Referral Services |
Per 15 minutes |
| Housing Opportunities for Persons with AIDS (HOPWA) Housing Referral Services |
Per 15 minutes |
| Housing Assistance – Emergency |
Per day |
| Housing Assistance – Short-term |
Per day |
Linguistic Services:
| Subcategories |
Service Units |
| Translation/Interpretation – Document |
Per payment |
| Translation/Interpretation – Interpersonal |
Per 15 minutes |
Medical Transportation Services (MT):
| Subcategories |
Service Units |
| Medical Transportation Services |
Per one-way trip |
Non-Medical Case Management (NMCM):
| Subcategories |
Service Units |
| Case Management (Non-Medical) |
Per 15 minutes |
| Intake – Non-Medical Case Management |
Per 15 minutes |
| Non-Medical Case Management Recertification |
Per 15 minutes |
Other Professional Services:
| Subcategories |
Service Units |
| Income Tax Preparation |
Per hour |
| Legal Services |
Per hour |
| Permanency Planning |
Per hour |
Outreach Services:
| Subcategories |
Service Units |
| Outreach services |
Per encounter |
Psychosocial Support Services:
| Subcategories |
Service Units |
| Other Counseling – Individual |
Per 15 minutes |
| Other Counseling – Nutritional |
Per 15 minutes |
| Other Counseling – Support Group |
Per 15 minutes |
| Psychosocial Support Services |
Per 15 minutes |
Referral for Health Care and Support Services (RHCS):
| Subcategories |
Service Units |
| Application |
Per application |
| Referral for Healthcare/Supportive Services |
Per referral |
Rehabilitation Services:
| Subcategories |
Service Units |
| Low-vision Training Services |
Per visit |
| Occupational Therapy |
Per visit |
| Physical Therapy |
Per visit |
| Rehabilitation Services |
Per visit |
| Speech Therapy |
Per visit |
Respite Care:
| Subcategories |
Service Units |
| Adult |
Per hour |
| Child Living with HIV |
Per hour |
| Respite Care |
Per hour |
Substance Abuse Services (Residential):
| Subcategories |
Service Units |
| Detoxification |
Per day |
| Residential Services |
Per day |
| Substance Abuse Services (Residential) |
Per day |
