Skip to content

Skip to full course listing




Texas Medicaid Services for Children

Please login to enroll in this course. Don't have an account? Register now

Welcome to this training on Texas Medicaid Services for Children provided by the Texas Department of State Health Services (DSHS) and the Texas Health and Human Services Commission (HHSC).

Goal

The goal of this module is to educate Texas Health Steps providers and others about delivering Medicaid services to eligible children birth through age 20 in Texas.

Target Audience

Texas Health Steps providers and other interested health-care professionals.

After completing the activities of this module, you will be able to:

  1. Recognize three kinds of medically necessary services available to children eligible for Medicaid that usually are not covered benefits for adult Medicaid patients.
  2. Specify two prerequisites that a clinician must satisfy in order to serve as a Medicaid managed care plan provider.
  3. Given a case study, evaluate whether a medical service to diagnose or treat a condition identified during a Texas Health Steps preventive medical checkup would likely meet the definition of medical necessity.
  4. Given a case study, distinguish between a dental service that would qualify as a treatment benefit under Texas Health Steps and a dental service that commonly would require documentation of medical necessity under the Comprehensive Care Program (CCP).
  5. Given a case study, indicate one situation in which a child eligible for Medicaid also would be eligible for services under another Texas state health-care program available to children.

References to parents in this module also imply guardians or caregivers. All data presented in this module reflect the most recent year for available data.

Note: Provider practices range from solo practitioners to large, multi-specialty physician groups. Some have entire departments dedicated to checking Medicaid eligibility, submitting and following up on claims, communicating with health plans, and credentialing; others have a limited number of staff members who perform both administrative and clinical duties. The icon below signifies Medicaid policies and procedures that may primarily involve administrative staff rather than clinicians in larger practices.

Please note this module expires on 11/02/2014.

This module includes a pre-test, post-test, and course evaluation. You must take the ungraded pre-test before beginning the course. After completing the course, you must take a post-test and score at least 75 percent to pass. After passing the post-test and completing the course evaluation, you will be able to print a certificate of completion.


Please login to enroll in this course. Don't have an account? Register now