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Title X Program Handbook
The Title X Program Handbook provides information critical to managing a Title X project in one place and serves as a one-stop reference document for new and existing Title X recipients. It provides key information and resources that will help recipients and subrecipients be successful as they implement their Title X projects. This document does not provide guidance on expectations in areas beyond Title X or outside the Office of Population Affairs' (OPA) oversight authority, and does not supersede statute, regulations, legislative mandates, the Notice of Award, or HHS policy.
The information included in the Title X Program Handbook applies to all entities that receive federal award funds under section 1001 of the PHS Act (42 U.S.C. § 300), including Title X recipients, subrecipients and service sites operating under the Title X recipient project, to assist in the establishment and operation of voluntary family planning projects. The Title X Program Handbook includes information and references current as of the date of publication and may be updated as needed in the future. This version of the Title X Program Handbook replaces the previous version that was published in July 2022.
- Title X Program Handbook (Pending final review for Section 508 compliance. For immediate assistance, please contact opa@hhs.gov.)
Title X Program Review Tool
OPA conducts program reviews to ensure grant recipient compliance, the provision of high-quality clinical care, and Title X program integrity. This Title X Program Review Tool is intended for use by OPA staff and consultants to conduct program reviews. It can also be used by Title X grant recipients as a self-assessment and be adapted for use by Title X grant recipients for monitoring their subrecipients and service sites.
Ensure Access
Improving accessibility of services for all clients, especially low-income clients, means providing client-centered services that are available when and where clients need them and can most effectively access them. Recipients are expected to implement their projects in ways that make services as accessible as possible for clients and are responsive to the needs of the clients and communities served. This includes, but is not limited to, the location of services, hours of services, modality of service provision (e.g., in-person, telehealth, drive-thru, mobile clinics), availability of ancillary services such as translation services and referral linkages, robust education and community outreach, ensuring access to a broad range of acceptable and effective family planning methods and services at service sites, and implementing billing and payment practices that ensure access to services.
Deliver High-Quality Care
Title X recipients are expected to provide quality family planning services that are consistent with nationally recognized standards of care. Quality health care is safe, effective, client-centered, timely, efficient, and equitable. Furthermore, client-centered care is respectful of, and responsive to, individual client preferences, needs, and values and where client values guide all clinical decisions. Recipients and their subrecipients are expected to have the capacity to support implementation of nationally recognized standards of care and provide initial and ongoing training and professional development for their staff on these standards.