• DSHS TB and Hansen's Disease Branch
    Post Office Box 149347, MC 1873
    Austin, Texas 78714

    Phone: 737-255-4300
    Fax: 512-989-4010

    Email the TB Program

    Email data requests to the TB Program

TB News and Announcements


  1. Response to COVID-19
  2. The Standing Delegation Orders and Standing Medical Orders
  3. TB Medication Availability Update
  4. Updated Recommendations for Screening of Health Care Personnel TB
  5. Enroll in Medicaid as a TB Medical Provider

Response to COVID-19

The TB and Hansen’s Disease Unit has developed guidance on temporary measures to minimize exposure to COVID-19 for clients and staff. Please continue to frequent this section, as information may change periodically.

1. Tuberculosis Action Plan to Minimize Exposure to COVID-19 (PDF)

Tuberculosis and COVID-19 Know the Difference 2. Tuberculosis & COVID-19 Know the Difference - TB and COVID-19 have some similar symptoms. It is important to “Think TB” when symptoms and risk factors for TB are present. Learn more about the symptoms, risks, and public health response to COVID and TB. (PDF)

3. Additional Resources and Information on the Coronavirus:


The Standing Delegation Orders and Standing Medical Orders

Standing Delegation Orders and Standing Medical Orders for Tuberculosis Prevention and Care for FY 2022 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 for latent TB infection.

The purpose of this document is to provide authority for specific acts of tuberculosis (TB) clinical services under 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 in DSHS Public Health Regions.

The revised Standing Delegation Orders and Standing Medical Orders for Tuberculosis Prevention and Care are effective September 1, 2021.


TB Medication Availability Update

Between March - June 2020, the TB and Hansen’s Disease Unit responded to fluctuations in TB medication availability impacting local and regional health departments.

Current status

There are no drug shortages or limitations of TB medications from the DSHS Pharmacy Branch for local and regional health department TB program use. This includes but is not limited to: Rifapentine, Rifabutin, Levofloxacin, or Moxifloxacin.

Any changes to a drug treatment regimen is at the discretion of the treating physician and not based on medication availability. 

Please contact the TB and Hansen’s Disease Unit for details: elizabeth.foy@dshs.texas.gov


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 (PDF).



Last updated September 9, 2021