Welcome to the training on Texas Health Steps: Overview provided by the Texas Health and Human Services Commission (HHSC) and the Texas Department of State Health Services (DSHS).
The goal of this module is to equip Texas Health Steps providers and others who care for children and adolescents enrolled in Texas Medicaid to recognize the importance of the program, perform all components of a preventive medical checkup, make appropriate referrals, identify which services and equipment require prior authorization, and understand requirements for being a Texas Health Steps provider.
Texas Health Steps providers and other interested health-care professionals.
Specific Learning Objectives
After completing the activities of this module, you will be able to:
- Summarize the scope of preventive health services encompassed by Texas Health Steps.
- Complete and document all required components of Texas Health Steps preventive medical checkups.
- Specify the process that must be used to make referrals for specialty or subspecialty care or to obtain services and equipment that require prior authorization.
Please note this module expires on 8/15/2021.
This module was released on 8/15/2018.
Continuing Medical Education
The Texas Department of State Health Services, Continuing Education Service is accredited by the Texas Medical Association to provide continuing medical education for physicians.
The Texas Department of State Health Services, Continuing Education Service designates this enduring material for a maximum of 1.50 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Continuing Nursing Education
The Texas Department of State Health Services, Continuing Education Service is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. The Texas Department of State Health Services, Continuing Education Service has awarded 1.50 contact hour(s) of Continuing Nursing Education.
The Texas Department of State Health Services, Continuing Education Service under sponsor number CS3065 has been approved by the Texas State Board of Social Worker Examiners to offer continuing education contact hours to social workers. The approved status of The Texas Department of State Health Services, Continuing Education Service expires annually on December 31. The Texas Department of State Health Services, Continuing Education Service has awarded 1.50 contact hour(s) of Continuing Social Work Education.
Certified Health Education Specialists
Sponsored by The Texas Department of State Health Services, Continuing Education Service, a designated provider of continuing education contact hours (CECH) in health education by the National Commission for Health Education Credentialing, Inc. This program is designated for Certified Health Education Specialists (CHES) and/or Master Certified Health Education Specialists (MCHES) to receive up to 1.50 total entry-level Category I contact education contact hours.
Certified Community Health Worker
The Texas Department of State Health Services, Promotor(a)/Community Health Worker Training and Certification Program has certified this course for 1.50 contact hour(s) of continuing education for Certified Community Health Workers and Community Health Worker Instructors.
Certificate of Attendance
The Texas Department of State Health Services, Continuing Education Service has designated 1.50 hour(s) for attendance.
One of the requirements of continuing education is disclosure of the following information to the learner:
- 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.
- Commercial Support.
The THSTEPS Web-based Continuing Education Series has received no commercial support.
- Disclosure of Relevant Financial Relationships.
The THSTEPS Continuing Education Planning Committee and the authors of these modules have no relevant financial relationships to disclose.
- 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.
- 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 courses are best viewed using a current browser. If you are using an out-of-date browser or a version of Internet Explorer less than 11, lesson progress and interactive features may not function properly.
- Anticipatory Guidance-A Guide for Providers
- Case Management for Children and Pregnant Women
- Centers for Disease Control and Prevention Growth Charts
- Child Blood Lead Test Reporting Forms
- Childhood Immunization Schedules
- Children with Special Health Care Needs (CSHCN) Services Program
- Early Childhood Intervention
- First Dental Home
- First Dental Home Provider Materials
- ImmTrac2 Texas Immunization Registry
- ImmTrac2 Texas Immunization Registry Portal
- Medical Transportation Program
- Online Provider Lookup
- Oral Evaluation and Fluoride Varnish in the Medical Home
- Requirements for Registered Nurses Who Complete Texas Health Steps Checkups
- STAR Health’s Health Passport
- Texas Childhood Lead Poisoning Prevention Program
- Texas Department of State Health Services Vision and Hearing Screening Program
- Texas Department of State Health Services Laboratory
- Texas Department of State Health Services Laboratory Supplies
- Texas Early Hearing Detection and Intervention Hearing Checklist for Parents
- Texas Health and Human Services Office of the Ombudsman
- Texas Health and Human Services Uniform Managed Care Manual
- Texas Health Steps
- Texas Health Steps Adolescent Health Guide
- Texas Health Steps Anticipatory Guidance Resource List
- Texas Health Steps Approved Screening Tool
- Texas Health Steps Child Health Clinical Record Forms
- Texas Health Steps Child Health Clinical Record Form Instructions
- Texas Health Steps Health History form ECHR-1/Birth Through 20 Years Checkup Child Health Record
- Texas Health Steps Help Line Toll-free 877-847-8377 (877-THSTEPS) Monday-Friday, 8 a.m. to 6 p.m. Central Time
- Texas Health Steps Lead Risk Questionnaire Form
- Texas Health Steps Medical Checkup Periodicity Schedule for Infants, Children, and Adolescents
- Texas Health Steps Online Provider Education Program
- Texas Health Steps Provider Outreach Referral Form
- Texas Health Steps Resource Catalog
- Texas Medicaid & Healthcare Partnership
- Texas Medicaid & Healthcare Partnership PA on the Portal
- Texas Medicaid Provider Procedures Manual
- Texas Medicaid Provider Procedures Manual, Vol.2, Children’s Health Services Handbook
- Texas Medicaid Provider Enrollment
- Texas Vaccines for Children Program
- Tuberculosis Questionnaire
- World Health Organization Growth Charts
- YourTexasBenefitsCard.com Provider Portal
- American Academy of Pediatric Dentistry. (2016). Policy on Early Childhood Caries (ECC): Classifications, Consequences, and Preventive Strategies.
- American Academy of Pediatric Dentistry. (n.d.). Definition of Early Childhood Caries.
- Texas Administrative Code §353.2.
- Texas Department of State Health Services. (2017). Texas TB Surveillance Report 2016.
- Texas Family Code, Title 5, §264.1076
- Texas Health and Human Services Commission. (n.d.). Texas Health Steps Documentation Improvement Provider Letter.