December 19, 2022
Healthy Texas Women (HTW) Services
Healthy Texas Women (HTW) provides family planning services, related preventive health services that are beneficial to reproductive health, and other preventive health services that positively affect maternal health and future pregnancies for women who:
- Are 15 through 44 years of age. Note: Women who are 15 through 17 years of age must have a parent or legal guardian apply on their behalf.
- Are a United States citizen or eligible immigrant.
- Are a resident of Texas.
- Do not currently receive benefits through another Medicaid program (including Medicaid for Pregnant Women), Children’s Health Insurance Program (CHIP), or Medicare Part A or B.
- Have a household income at or below 200% of the federal poverty level.
- Are not pregnant.
- Do not have other insurance that covers the services that HTW provides. Exception: A client who has other private health insurance may be eligible to receive HTW services if a spouse, parent, or other person would cause physical, emotional, or other harm to the client because the client filed a claim on the health insurance.
HTW Provider Participation
HTW services are provided by a physician or by another qualified health-care professional operating under physician direction. A physician provides direction for family planning services through written standing delegation orders and medical protocols. The physician is not required to be on the premises for the provision of family planning services by an RN, PA, NP, or CNS. HTW participants may receive services from any provider that participates in HTW. For providers to participate, complete the Healthy Texas Women Certification Form and fax to 1-512-514-4214.
HTW clients must be allowed freedom of choice in the selection of contraceptive methods as medically appropriate. They must also be allowed the freedom to accept or reject services without coercion. All HTW-covered methods of contraception must be made available to the client, either directly or by referral to another provider of contraceptive services. Services must be provided without regard to age, marital status, race, ethnicity, parenthood, disability, religion, national origin, or contraceptive preference.
Healthy Texas Women Plus (HTW Plus)
HTW Plus Services
Healthy Texas Women Plus (HTW Plus) is a set of additional physical health, mental health, and substance use disorder benefits that are available to HTW clients during the first 12 months of their eligibility following a pregnancy. These outpatient services target major health conditions that contribute to maternal mortality and severe morbidity in the extended postpartum period and provide continuity of care for chronic conditions treated during the pregnancy period.
Provider Participation
Health-care providers who want to provide HTW Plus services must be enrolled as Texas Medicaid providers and have completed the HTW provider certification process. There are no additional requirements for HTW providers to provide HTW Plus benefits within their scope of education and training because HTW Plus is not a separate program from HTW.
Questions
Providers for questions or additional information, please:
- Contact your BCBSTX Medicaid Network Team at 1-855-212-1615
- Submit via email Texas Medicaid Network Department