Texas Health Steps

Texas Health Steps (THSteps), formerly known as Early and Periodic Screening, Diagnosis and Treatment, is a program for children from birth through 20 years of age who are enrolled in Medicaid. Texas Health Steps provides regular medical and dental checkups and case management services to babies, children, teens and young adults at no cost.

As a follow-up to HHSC’s initiative to improve documentation by Texas Health Steps providers, HHSC is requesting each MCO post the attached provider letter and accompanying clinical record review tools to your website.  The provider letter describes the importance of documenting each component and subcomponents of a Texas Health Steps checkup.  Two clinical review tools are attached — the Excel version will tabulate the completeness of the respective provider’s documentation of exams, and the PDF version can be easily accessed to add written comments and notes.

In addition, MCOs are asked to post the Texas Health Steps Regional Provider Relations contacts.  Providers can contact Texas Health Steps regional representatives for help and support with documenting Texas Health Steps checkups.

Medical Periodicity
Children from birth through 20 years of age enrolled in Medicaid are due for THSteps medical checkups based on his or her date of birth and the ages indicated on the Texas Health Steps periodicity schedule. Children younger than 3 years of age are due at frequent intervals. Children 3 years of age and older should get checkups every year — ideally on their birthday.

Timely Texas Health Steps Checkups
Parkland Community Health Plan Medicaid members should have a checkup within 90 days of enrollment.

Existing Parkland Community Health Plan Medicaid members should have a checkup based on their age range as indicated below:

  • Existing member checkups for children birth through 35 months of age are considered timely if conducted within 60 days of the periodic due date.
  • Existing members 36 months of age and older should get a checkup on the child’s birthday.  It is considered timely if it occurs within 364 calendar days of the child’s birthday.

For more information on the Texas Health Steps program, please consult our provider manual or the Texas Medicaid Provider Procedures Manual (TMPPM).

Other resources