General Disclosure

One of the requirements of continuing education is disclosure of the following information to the learner:

  1. Notice of requirements for successful completion of continuing education activity. To receive continuing education credit the learner must successfully complete the following activities:
    • Create a Texas Health Steps account.
    • Complete on-line registration process.
    • Thoroughly read the content of the module.
    • Complete the on-line examination.
    • Complete the evaluation.
  2. Commercial Support.
    The THSTEPS Web-based Continuing Education Series has received no commercial support.
  3. Disclosure of Relevant Financial Relationships.
    The THSTEPS Continuing Education Planning Committee and the authors of these modules have no relevant financial relationships to disclose. Planning Committee/ Author Name of Commercial interest Nature of the Relationship LeAnn Kridelbaugh Salary Employment (Director of Medical Home Initiatives).
  4. Non-Endorsement Statement.
    Accredited status does not imply endorsement of any commercial products or services by the Department of State Health Services, Continuing Education Service; Texas Medical Association; or American Nurse Credentialing Center.
  5. Off-Label Use.
    Using a disclosure review process, the THSTEPS Continuing Education Planning Committee has examined documents and has concluded that the authors of these modules have not included content that discusses off-label use (use of products for a purpose other than that for which they were approved by the Food and Drug Administration).

The following are policies and definitions of terms related to continuing education disclosure:

The intent of disclosure is to allow Department of State Health Services (DSHS) Continuing Education Service the opportunity to resolve any potential conflicts of interest to assure balance, independence, objectivity and scientific rigor in all of its Continuing Education activities.

All faculty, planners, speakers and authors of Department of State Health Services (DSHS) Continuing Education Service sponsored activities are expected to disclose to the Department of State Health Services (DSHS) Continuing Education Service any relevant financial, relationships with any commercial or personal interest that produces health care goods or services concerned with the content of an educational presentation. Faculty, planners, speakers and authors must also disclose where there are any other potentially biasing relationships of a professional or personal nature.

Glossary of Terms

Conflict of Interest: Circumstances create a conflict of interest when an individual has an opportunity to affect Continuing Education content about products or services of a commercial interest with which she/he has a financial relationship or where there are any other potentially biasing relationships of a professional or personal nature.

Commercial Interest: Any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients.

Financial Relationships: Those relationships in which the individual benefits by receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit. Financial benefits are usually associated with roles such as employment, management position, independent contractor (including contracted research), consulting, teaching, membership on advisory committees or review panels, board membership, and other activities for which remuneration is received or expected. Relevant financial relationships would include those within the past 12 months of the person involved in the activity and a spouse or partner. Relevant financial relationships of your spouse or partner are those of which you are aware at the time of this disclosure.

Off Label: Using products for a purpose other that that for which it was approved by the Food and Drug Administration (FDA).

Texas Health Steps providers should not use Magellan Diagnostics’ LeadCare analyzers for venous blood lead tests. The Centers for Disease Control and Prevention (CDC) issued a Health Advisory warning that the analyzers may underestimate blood lead levels and provide falsely low test results. The FDA recommends against using LeadCare analyzers for venous blood samples.

The 2016-17 Respiratory Syncytial Virus (RSV) season will end April 14 for all Texas counties. No extensions were granted this season based on recommendations from the Texas Pediatric RSV Task Force.

Coverage of Synagis (palivizumab) will end April 14 for people enrolled in Medicaid (both traditional and managed care) and the Children with Special Health Care Needs services program. Pharmacy claims and prior authorization requests will not be accepted or reviewed after that date.

Improving transition from pediatric to adult health care is a national priority, medical home standard, and meaningful use requirement for electronic health records. A new tip sheet from Got Transition and the American Academy of Pediatrics (AAP) supports delivery of recommended health-care transition services in pediatric and adult primary and specialty care settings.

The Texas Department of State Health Services Office of Title V Maternal and Child Health is soliciting feedback from primary care and specialty care physicians about their experiences with transition and medical home services. Information gathered will be used to improve support services for providers who care for children and youth with special health-care needs and their families.

The survey is brief, and responses are anonymous. You can access the survey here. Your participation is appreciated.

Effective February 1, 2017, the Pediatric Symptom Checklist-17 (PSC-17) may be used for adolescent mental health screening conducted during a Texas Health Steps checkup.

Screening for behavioral, social, and emotional development is required at each THSteps checkup. An additional mental health screen is required once for patients between the ages of 12 and 18. The approved screening tools are listed below:

Under a new collaboration between Texas Health and Human Services and the Department of Family and Protective Services (DFPS), children and adolescents should receive a Texas Health Steps medical checkup within 30 days of entering DFPS conservatorship.

Procedure code 99420, which is used during a THSteps checkup to administer and interpret a mental health screening tool in adolescents, is being discontinued by the 2017 HCPCS code updates.  Effective January 1, 2017, THSteps providers should use procedure code 96160 or 96161 for mental health screenings in adolescents 12 through 18 years of age.

The Texas Medicaid & Healthcare Partnership (TMHP) has updated a variety of provider enrollment applications and forms. The revised forms are available on the TMHP Forms for Medicaid Providers web page.

Effective January 1, 2017, previous versions of the forms are no longer accepted. To learn more about TMHP forms, call 1-800-302-6688.

Children and adults age 20 and younger who have disabilities and are covered by Texas Medicaid now receive services through STAR Kids.

STAR Kids provides benefits such as primary and specialty care, preventive care, hospital care, prescription drugs, personal care, and durable medical equipment and supplies. A key feature of the plan is care coordination provided through the patient’s health plan.

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