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TB News and Announcements

  1. DSHS TB Medication Availability Notification
  2. TB Standing Delegation Orders and Standing Medical Orders
  3. Enroll in Medicaid as a TB Medicaid Provider

DSHS TB Medication Availability Notification

Please adhere to the current medication usage criteria outlined in the below documents until otherwise instructed by the DSHS Tuberculosis and Hansen’s Disease Unit.

  1. Moxifloxacin Announcement, August 26, 2024:
    1. TB Medication Usage Criteria: Moxifloxacin Shortage Guidelines
       
  2. Rifabutin Announcement, April 9, 2024
    1. Tuberculosis (TB) Medication Usage Criteria: Rifabutin Shortage Guidelines
    2. Tuberculosis Medication Request Form: Rifabutin

TB Standing Delegation Orders and Standing Medical Orders

Standing Delegation Orders and Standing Medical Orders for Tuberculosis Prevention and Care for FY 2024 are now available.

The Standing Delegation Orders (SDOs) and Standing Medical Orders (SMOs) are written instructions, orders, and procedures prepared by the Department of State Health Services Tuberculosis and Hansen’s Disease Unit to promote consistent evaluation and treatment practices for persons with suspected or confirmed TB disease and latent TB infection.

The purpose of this document is to provide authority for specific acts of tuberculosis (TB) clinical services under the authority of Rule Title 22, Texas Administrative Code §193.2, Standing Delegation Orders.

The intended audience for the SDOs and SMOs includes physicians, registered nurses, licensed vocational nurses, and non-licensed staff working in local health departments with TB programs and DSHS Public Health Regions.

The revised Standing Delegation Orders and Standing Medical Orders for Tuberculosis Prevention and Care are effective September 1, 2023.


Enroll in Medicaid as a TB Medicaid Provider

The DSHS Tuberculosis and Hansen’s Disease Unit encourages local health department TB programs to enroll in Medicaid as a TB Medicaid Provider.

Information on the enrollment process for first-time enrollees can be found on the Texas Medicaid and Healthcare Partnership (TMHP) website.

Clinics requesting reimbursement for TB services must also enroll as a TB Medicaid Provider. To enroll, the clinic must apply for a DSHS letter verifying their TB services and may attach the letter to their Medicaid application. To apply for the letter, clinics may fill out the Medicaid Provider Application.