Texas Health Steps Provider Information


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 changes effective April 1, 2015. The revised schedule reflects a change to autism screening requirements using the M-CHAT. Place an order online or download LARGE version in Color [PDF 72KB] and Black & White [PDF 132KB] or POCKET-SIZED in Color [PDF 152KB] and Black & White [PDF 156KB]. (You may need to adjust print settings to select "Actual size" under "Page Sizing & Handling"). Please contact a THSteps Provider Relations Representative for additional information.

Anticipatory Guidance-A Guide for Providers has been designed specifically for THSteps providers. It offers age-appropriate anticipatory guidance topics for children birth through 20 years of age. 

ADOLESCENT HEALTH GUIDE - Designed for health-care providers 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 3.38MB] Updated March 2015 Text Only Please Note: Printed versions of the Adolescent Health Guide dated between August 2011 and February 2015 should be updated by printing INSERT 1 [PDF 308KB] to place behind the front cover, and INSERT 2 [PDF 84KB] to replace Page 14.


Notice of Possible Erroneous Newborn Screening Result Reports-

Issue: A small number of Duplicate and Revised Newborn Screening reports were generated with incorrect Immunoreactive Trypsinogen (IRT) analyte results between March 26, 2015 and May 27, 2015. These reports contain the correct screening results for Cystic Fibrosis, i.e. “Inconclusive”, “Indeterminate” or “Abnormal”. However, the IRT analyte results are incorrectly reported as “Normal”. The issue was identified on June 1, 2015 during verification of an upgrade to the Laboratory Information Management System used for Newborn Screening testing. New reports showing the correct IRT analyte results have been created.

Action: If you received a Newborn Screening result report with the header “Duplicate” or “Revised” during this timeframe, please review the IRT analyte results to determine if the report was affected by this issue. Corrected reports are available online through the Texas Newborn Screening Web Application (Neometrics) and can be requested from Laboratory Reporting by Fax: 512-776-7533 or by Phone: 512-776-7578 Monday-Friday, 8am to 5pm.

Please contact the laboratory with any further questions or concerns Monday through Friday, 8am to 5pm, 1-888-963-7111 extension 7585.

HHSC has developed a new web page where proposed Medicaid policy changes will be listed. The page also explains how to comment on the changes and allow people to recommend new medical and dental benefits. Click on "˜Sign up for e-mail updates" on that page to subscribe to email updates to the page.

Federal Re-enrollment - Texas Medicaid must comply with federal regulations which require all providers to revalidate their enrollment information every three to five years. In accordance with this mandate, the Centers for Medicare & Medicaid Services (CMS) require that states complete the initial re-enrollment of all providers by March 24, 2016. For Texas Medicaid, any provider enrolled before January 1, 2013, must be fully re-enrolled by March 24, 2016. Providers can begin this process immediately.

THSteps Policy Changes Effective April 1, 2015 - Benefit criteria for Texas Health Steps (THSteps) preventive care medical checkups has changed effective for dates of service on or after April 1, 2015:

  • Additional Age Requirement Added for Autism Screening - Providers will be required to perform an autism screening on clients at 18 months of age and again at 24 months of age using the Modified Checklist for Autism for Toddlers (M-CHAT or M-CHAT-R/F™).
  • Growth Chart Usage for Comprehensive Unclothed Physical Examinations - Growth charts are used for recording of measurements and percentiles as appropriate to age to document a client’s growth and development. Texas Health Steps recommends the following growth charts to record client length, height, weight, and fronto-occipital circumference:

New Medical Transportation Provider for Services in San Antonio Area (Region 8) [PDF 36KB]

DSHS is pleased to announce the expansion of the Texas Newborn Screening Panel to include secondary conditions of the Recommended Uniform Screening Panel. Screening is anticipated to begin in mid-2015. DSHS will continue to provide updates throughout the implementation process. Link to Newborn Screening Notices for more information.

Mental Health Screening Tools Recommended based on Release of 2014 AAP Preventive Pediatric Health Care Recommendations Posted October 28, 2014

On September 1, 2014, reporting of Critical Congenital Heart Disease (CCHD) became 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, and to access the CCHD toolkit.


Investigation of Acute Flaccid Myelitis in Children, 2014 DSHS [PDF 236KB]

DSHS News Releases

FLU - www.texasflu.org/

Influenza Information for Health Care Professionals


Anticipatory Guidance Resource List [PDF 112KB] Text Only

Asthma-Guidelines for Diagnosis and Management

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]

Checkup Components 

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

Information for Health and Medical Professionals Referring To Early Childhood Intervention (ECI)


Frequently Asked Questions (FAQ)s


IMPROVE - Please note that HHSC is currently restructuring the provider feedback process and allowing providers to directly connect with specific areas that interact with clients on a daily basis. Log on to HHSC's IMPROVE web page for complete information.

Your Texas Benefits Medicaid Card and Provider Website - Information on the Medicaid ID card and Medicaid eligibility verification website.

Medical Transportation Program - HHSC    

Medical Transportation Program Tutorial (Link online at txhealthsteps.com)

Modifier 25 Frequently Asked Questions [PDF 92KB]

Parent Companion: First Five Years - Texas Education Agency, Region XIII Education Service Center, and Texas Parent to Parent (TxP2P)  unveiled a new online resource for parents of young children. The website features information for parents and caregivers of children with diagnosed or suspected disabilities from birth through 5 years of age.

Provider Enrollment

Provider Outreach Referral Service

THSteps Background

THSteps and How It Works


DSHS Immunization Branch

CDC's Immunization Schedule

Information on Vaccine Shortages


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

Newborn Screening Laboratory

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

LabGuides Tutorials - LabGuides are short tutorials designed to help providers meet the acceptance criteria for certain specimens sent to the DSHS Laboratory.


THSteps Preventive Care Medical Checkup Requirement for Elevated Blood Levels - 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

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 info@txhealthsteps.com 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)


Newborn Screening

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


Last updated August 26, 2015