PERIODICITY SCHEDULE - The Texas Health Steps Medical Checkup Periodicity Schedule for infants, children, and adolescents (birth through 20 years of age) has been revised to reflect policy updates effective December 1, 2011. Printed copies dated April 2013 reflect an update to formatting of the dental referral component. An October 2013 copy reflects a re-print date only. The April 2013 version is available for download in both Color [PDF 337KB] and Black & White [PDF 385KB].
ADOLESCENT HEALTH GUIDE - Designed for health-care providers, social workers, counselors, teachers, and other professionals who provide services, information, and support to young people. It offers guidelines on health and health-related legal issues pertinent to the adolescent years. Adolescent Health-A Guide for Providers [PDF 1MB] Text Only
Beginning September 1, 2014, reporting of Critical Congenital Heart Disease (CCHD) is mandatory in Texas. Please go to the Newborn Screening website at www.dshs.state.tx.us/newborn/ for complete information on CCHD screening and reporting in Texas. From the website, birthing facilities, hospitals, and physicians can access the CCHD toolkit, and the CCHD Reporting Form. The CCHD toolkit can be used to assist with implementing CCHD screening and was developed through the Texas Pulse Oximetry Project with support from the Texas Department of State Health Services (DSHS). The toolkit provides educational and technical information on screening for CCHD, including the screening algorithm, brochures, and other information for physicians and nurses. The CCHD Reporting Form is used to report confirmed cases of CCHD to the Department of State Health Services.
Information for Health and Medical Professionals Referring To Early Childhood Intervention (ECI)
The AAP has called out literacy promotion as being an essential component of primary care pediatric practice. An article released this week indicates that the new policy statement asks pediatricians to counsel parents about "developmentally appropriate reading activities that are enjoyable for the child and the parents and offer language-rich exposure to books and pictures and the written word."
DSHS News Releases
CDC publishes an MMWR Early Release report on record-breaking year in reported cases of measles in the U.S. - On May 29, CDC published an MMWR Early Release titled Measles-United States, January 1-May 23, 2014. The article provides details on the 288 confirmed measles cases occurring between January 1 and May 23 and reported to CDC by 18 states (including Texas) and New York City.
FLU - http://www.texasflu.org/
Influenza Information for Health Care Professionals
Nationwide Shortage of Tuberculin Skin Test Antigens (Ongoing) - For additional information on the Tubersol® shortage including information on ordering Tubersol® directly from Sanofi Pasteur, visit the FDA’s Vaccines, Blood and Biologics website.
West Nile Virus in Texas (DSHS West Nile Home Page)
Anticipatory Guidance Resource List [PDF 112KB] Text Only
Parent Health Care Guide - Designed for families to help in determining the appropriate level of health care needed for different illnesses and or injuries. [PDF 3.42MB]
Contact Information-THSteps Provider Relations / Oral Health Program
Developmental Calendar - "A Parent's Guide to Raising Healthy, Happy Children"
Developmental Screening Forms
DFPS Medical Services
Frequently Asked Questions (FAQ)s
IMPROVE (Interactive Medicaid Provider Voice) is a web-based, provider-focused initiative designed to foster better relations and understanding between medical providers and Medicaid. IMPROVE allows providers who pinpoint systemic issues within the Medicaid program the opportunity to suggest resolutions.
Your Texas Benefits Medicaid Card and Provider Website - Information on the Medicaid ID card and Medicaid eligibility verification website.
Medical Transportation Program - HHSC
Provider Outreach Referral Service
THSteps and How It Works
DSHS Immunization Branch
CDC's Immunization Schedule
Information on Vaccine Shortages
CHANGES TO DSHS NEWBORN SCREENING RESULT REPORTING STATEMENTS - At the end of February 2014, a new analyte, C3+C16, was added to the screening algorithm of fatty acid disorders. Possible results for this new analyte on the report may be Low, or Normal. Link to http://www.dshs.state.tx.us/lab/newbornscreening.shtm and then scroll down to Recent Notices: Changes to NBS Result Reporting Statements, effective February 2014 (PDF) for complete information.
LabGuides Tutorials - LabGuides are short tutorials designed to help providers meet the acceptance criteria for certain specimens sent to the DSHS Laboratory.
THSteps Medical Checkup Laboratory Requirements [PDF 43KB] Text only
DSHS Laboratory Checklist for THSteps Medical Providers [PDF 46KB] Text only
Texas Health Steps Risk Based Guidance Tool Color [PDF 304KB] B&W [PDF 304KB] Text only
Information Regarding Blood Spot Card Storage and Use
Clinical Chemistry Remote Data Services
DSHS Laboratory Home Page
Lab Supply Order Information - Includes the G-THSTEPS Specimen Submission Form (Scroll to bottom of that page to find information on how to obtain the G-THSTEPS form via email or phone)
Serum Specimen Criteria
Specimen Collection and Handling
Change to THSteps Preventive Care Medical Checkup Requirement for Elevated Blood Levels - Effective December 1, 2013, elevated blood lead level criteria changed for the Texas Health Steps preventive care medical checkups.
In accordance with Texas Administrative Code (TAC) Title 25 (Part 1) Chapter 37 Subchapter Q Rule §37.334, the elevated blood lead level requirement has been reduced from 10 mcg/dL to 5 mcg/dL. For an elevated blood lead level of 5 mcg/dL or greater, the provider must perform a confirmatory test using a venous specimen. The confirmatory specimen may be sent to the Department of State Health Services (DSHS) Laboratory, or the client or specimen may be sent to a laboratory of the provider’s choice.
Information related to blood lead screening and reporting for clients who are 15 years of age and older is available on the DSHS Blood Lead Surveillance Group’s website at www.dshs.state.tx.us/lead/providers.shtm. For more information, call the TMHP Contact Center at 1-800-925-9126.
Texas Health Steps Adopts New CDC Blood Lead Levels
Texas Childhood Lead Poisoning Prevention Program (TXCLPPP)
Texas Medicaid Program HHSC Internet
Texas Medicaid Provider Procedures Manual (TMPPM)-The TMPPM will be updated monthly with policy and procedure changes that were implemented at the beginning of the previous month. The updated chapters will be published around the 15th of each month. The manual is available on the TMHP website on the Texas Medicaid Provider Procedures Manual Website Page and can be accessed by clicking the Reference Material button on any web page in the Texas Medicaid provider section.
TMHP Texas Health Steps Page (The THSteps Quick Reference Guide and other helpful information can be found on this TMHP internet page)
Best Practices in Delivering Medicaid Services
Medicaid and CHIP Statistics
Periodicity Schedule (Posted at top of page)
Online Provider Education (OPE)-Continuing Education (CE) Hours - Texas Health Steps' award-winning online program offers FREE CE Courses to enhance your ability to provide preventive health, mental health, oral health and case management services to Medicaid eligible children in Texas. First time users will need to register.
UNAUTHORIZED WEBSITE ADVISORY: Please be advised that there is a separate, privately owned and operated website located at http://ww42.texashealth steps.com that is not authorized, or affiliated with, Texas Health Steps, DSHS, or any of the Texas Health and Human Services agencies, which do not approve of the website or endorse any of its contents. Contact firstname.lastname@example.org if you have questions.
TMHP Provider Education Home Page - This is the homepage for all of the provider education opportunities offered by TMHP. Providers can run computer-based training (CBT) modules, register for workshops and webinars, listen to or read transcripts of past webinars or Radio TMHP offerings, and access written workshop materials. To view a CBT, you must be registered on the Learning Management System (LMS) server.
Vendor Drug Program-Pharmacy Continuing Education
Ages & Stages Questionnaires®
Case Management for Children & Pregnant Women
Children's Health Insurance Program (CHIP)
Developmental Behavioral Pediatrics Online
Early Childhood Intervention (ECI)
Oral Health Program
Spinal Screening Program
Texas Medicaid and Healthcare Partnership (TMHP)
Texas Medicaid Vendor Drug Program
Texas Women's Health Program
Vision and Hearing Screening
WIC - Special Supplemental Nutrition Program for Women, Infant and Children