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 other health-care professionals who care for children and adolescents enrolled in Texas Medicaid to recognize the importance of Texas Health Steps, perform all components of preventive medical and dental checkups, 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 and dental 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.
- Determine which additional benefit programs may be available to children and adolescents receiving Texas Health Steps services.
Please note this module expires on 6/28/2024.
This module was released on 6/28/2021.
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, the continuing education provider, ensures that the education provided is directly related to the practice of social work; and that the individuals presenting the information have the necessary experience and knowledge in the topics presented. The Texas Department of State Health Services, Continuing Education Service has awarded 1.50 hours of credit.
Certificate of Attendance
The Texas Department of State Health Services, Continuing Education Service has designated 1.50 hour(s) for attendance.
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.
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).
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Section 1: Scope of Texas Health Steps Services
- Centers for Disease Control and Prevention, Hearing Loss in Infants and Young Children: Considerations for Pediatric Primary Care Providers
- Joint Commission Primary Care Medical Home Certification Program
- Texas Health Steps Provider Outreach Referral Form
- Texas Medicaid & Healthcare Partnership
- Texas Medicaid Provider Procedures Manual.
- Texas Medicaid Provider Procedures Manual, Vol. 2, Children’s Health Services Handbook (October 2020)
Section 2: Components of Texas Health Steps Preventive Medical and Dental Checkups
- American Academy of Pediatric Dentistry Periodicity Schedule for Pediatric Oral Health Assessment, Preventive Services, and Anticipatory Guidance/Counseling
- Anticipatory Guidance-A Guide for Providers
- Centers for Disease Control and Prevention Growth Charts
- Child Blood Lead Test Reporting Form
- Childhood Immunization Schedules
- ImmTrac2 Texas Immunization Registry
- ImmTrac2 Texas Immunization Registry Portal
- Modifier 25 Primer
- STAR Health’s Health Passport
- Texas Childhood Lead Poisoning Prevention Program (TXCLPPP)
- Texas Childhood Lead Poisoning Prevention Blood Lead Screening Guidelines
- Texas Childhood Lead Poisoning Prevention Lead Risk Questionnaire Form
- Texas Childhood Lead Poisoning Prevention Child Blood Lead Reporting Form (F09-11709) - Children through Age 14
- Texas Childhood Lead Poisoning Prevention Adult Blood Lead Reporting Form (F09-11624) - Children/adults 15 years of age and older
- Texas Childhood Lead Poisoning Prevention Electronic Blood Level Reporting Form
- Texas Childhood Lead Poisoning Prevention Point-Of-Care Blood Lead Testing Report (Pb-111)
- 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 (English & Spanish)
- Texas Health and Human Services Medicaid and Chip Services Information for Providers—Telehealth Services
- Texas Health Steps
- Texas Health Steps Adolescent Health: A Guide for Providers
- Texas Health Steps Anticipatory Guidance Provider Guide
- Texas Health Steps Approved Developmental and Mental Health Screening Tools
- Texas Health Steps Catalog
- Texas Health Steps Child Health Clinical Record Forms
- Texas Health Steps Clinical Record Review Tool
- Texas Health Steps Dental Anticipatory Guidance
- Texas Health Steps First Dental Home
- Texas Health Steps First Dental Home Provider Materials
- 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 Medical Checkup Periodicity Schedule for Infants, Children, and Adolescents
- Texas Medicaid Provider Procedures Manual, Vol. 2, Telecommunication Services Handbook (October 2020).
- Texas Medical Association, Texas Laws and Regulations Relating to Telemedicine (2019).
- Texas Vaccines for Children Program
- Tuberculosis Questionnaire
- World Health Organization Growth Charts
Section 3: Claims Submission, Referral and Prior Authorization
- Online Provider Lookup
- Texas Health and Human Services Uniform Managed Care Manual
- Texas Medicaid & Healthcare Partnership PA on the Portal
- Texas Medicaid & Healthcare Partnership Prior Authorization (PA) on the Portal Submission Guide
- Texas Health Steps Quick Reference Guide
Section 4: Additional Medicaid Services that Sometimes Accompany Texas Health Steps Services
- Case Management for Children and Pregnant Women
- Children with Special Health Care Needs (CSHCN) Services Program
- Early Childhood Intervention (ECI)
- ECI Qualifying Diagnosis Search
- ECI Referral Form
- Medical Transportation Program
- Oral Evaluation and Fluoride Varnish in the Medical Home
- Oral Evaluation and Fluoride Varnish in the Medical Home forms and Product Resources
Section 5: Provider Enrollment and Provider Assistance
- Requirements for Registered Nurses Who Complete Texas Health Steps Checkups
- Texas Health Steps Online Provider Education Program
- Texas Health Steps Regional Provider Relations Representatives Contact List
- Texas Medicaid & Healthcare Partnership Provider A Step-by-Step Guide to Provider Enrollment on the Portal (PEP)
- Texas Medicaid & Healthcare Partnership Provider Relations Regional Representatives
- Texas Medicaid Provider Enrollment
- Texas Medicaid Quick Reference Guide
- American Academy of Pediatric Dentistry. (2016). Policy on Early Childhood Caries (ECC): Classifications, Consequences, and Preventive Strategies.
- American Academy of Pediatric Dentistry. (2008).Definition of Early Childhood Caries.
- American Academy of Pediatric Dentists. (2020). Periodicity of examination, preventive dental services, anticipatory guidance/ counseling, and oral treatment for infants, children, and adolescents. The Reference Manual of Pediatric Dentistry, 2020-2021. Chicago, Ill.: American Academy of Pediatric Dentistry; 232-42.
- Bright Futures/American Academy of Pediatrics (AAP). (2020). Recommendations for Preventive Pediatric Health Care (Periodicity Schedule), 2020.
- Texas Administrative Code §353.2.
- Texas Family Code, Title 5, §264.1076. (2017).
- Texas Government Code §531.001(4-a), §531.001(7), §531.001(8)
- Texas Health and Human Services Commission. (2020). Telemedicine, Telehealth and Home Telemonitoring Services in Texas Medicaid.
- Texas Health and Human Services Commission. (n.d.). Texas Health Steps Documentation Improvement Provider Letter.
- Texas Medicaid Provider Procedures Manual.
Texas Medicaid Services for Children
This course provides a current and comprehensive overview of Texas Medicaid services available to children and their families, including information about how to access and provide services to eligible patients. The course is recommended for all Texas Health Steps providers and their staff members.
Building a Comprehensive and Effective Medical Home
Learn how and why to create and sustain a medical home in your primary care practice.