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 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


Clarification of “Reimbursement Rate Change for PA, CNM, CNS, and NP Providers Enrolled as THSteps or Title XIX Family Planning Agency Providers”

Starting February 1, 2014, HHSC will begin enforcing a rule that requires a parent, guardian, or another adult approved by the parent to stay with a child age 14 or younger when the child goes for a Medicaid service. This includes the time the child is traveling to and from the visit if the ride is set up through HHSC’s Medical Transportation Program. Parents and guardians who are not able to go with their child to these appointments must identify an adult to go with the child and make sure the paperwork that authorizes that adult is on file with HHSC.


  • If a parent or guardian can’t go with their child to a doctor, dentist, or other Medicaid-related visit, that parent must tell HHSC the name of the adult who will go with the child.
  • The authorized adult cannot be the doctor or specialist providing the child’s Medicaid services, an employee of that Medicaid provider, or someone paid by that provider.
  • The parent also can choose a backup adult in case the first adult chosen cannot go with the child.
  • The parent must fill out a Parent Authorization Form and send it in so HHSC will know which adult is authorized to go with the child.
  • The adult who goes with the child must be present when the child is picked up, show a photo ID to the driver, and sign the driver log. 

Parents can get a Parent Authorization Form and get answers to questions by calling HHSC’s Medical Transportation Program toll-free:

  • Houston / Beaumont area: 1-855-687-4786
  • Dallas / Fort Worth area: 1-855-687-3255
  • All other areas: 1-877-633-8747 (1-877-MED TRIP)


Merck Issues Voluntary Recall of One Lot of Gardasil Vaccine (Posted January 2, 2014)


Nationwide Shortage of Tuberculin Skin Test Antigens - 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.

DSHS News Releases


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]

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


Healthy Kids, Healthy Families brochures are made possible by a grant to the Centers for Disease Control and Prevention (CDC) Foundation from the MetLife Foundation. To print or order copies of these free brochures, or similar brochures for providers, teachers and principals, please visit the CDC Healthy Youth! website or call 1-888-231-6405.


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 new plastic Medicaid ID card and the new, secure Medicaid eligibility verification website.

Medical Transporation Program (Link to tutorial found online at txhealthsteps.com)

Provider Enrollment

Provider Outreach Referral Service

THSteps Background

THSteps and How It Works


DSHS Immunization Branch

CDC's Immunization Schedule

Information on Vaccine Shortages


CHANGES TO DSHS NEWBORN SCREENING RESULT REPORTING STATEMENTS - By the end of February 2014, a new analyte, C3+C16, will be 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] Revised February 2014 Text only

DSHS Laboratory Checklist for THSteps Medical Providers [PDF 46KB] Revised February 2014 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) Updated September 2013

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

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. 

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

Vision and Hearing Screening

Special Supplemental Nutrition Program for Women, Infant and Children (WIC)

Texas Women's Health Program

Last updated March 27, 2014