Get free CME on the go with Texas Health Steps Online Provider Education. All courses are developed by physicians and are available 24/7 on your computer or mobile device. Choose from a wide range of relevant topics, including many that offer ethics credit. Check out the course finder below to learn about the range of courses that are available.
A Prescriber's Guide to Medicaid Prior Authorizations
Learn when and how to obtain prior authorization for medications prescribed for patients covered by Medicaid fee-for-service and managed care.
Addressing ACEs During Texas Health Steps Checkups
Take a few minutes to learn how and why to screen young patients for adverse childhood experiences during regular medical checkups.
Addressing Adverse Childhood Experiences through Trauma-Informed Care
Integrate practices to identify, treat and reduce the effects of trauma and toxic stress among children and adolescents. Includes ethical guidelines for reporting suspected abuse or neglect and for providing culturally effective health-care services.
ADHD: Screening, Diagnosis and Management
Adopt recommended screening schedules and tools to diagnose and manage ADHD among children and adolescents in the primary care setting. Includes guidelines for making referrals and coordinating care with specialists.
Adolescent Substance Use
Learn the tools to integrate substance use screening and intervention into practice, employ current evidence-based models to manage patients who use substances or are in recovery, and refer patients.
Adolescent Vaping: Current Trends, Research and Best Practices
Learn how to routinely screen adolescents for e-cigarette use and counsel them about the health risks and long-term consequences of vaping.
Advancing Health Equity in Texas through Culturally Responsive Care
Learn how to advance health equity by adopting and implementing the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care.
Anticipatory Guidance: Work Flow Strategies for Texas Health Steps Providers
Learn how a ‘whole-office’ approach can benefit busy providers and ensure patients receive individualized, age-appropriate health education and anticipatory guidance during checkups.
Assessments, Education and Prevention in the Dental Home
Learn to implement nationally recognized dental quality measures such as individualized caries risk assessment and age-appropriate anticipatory guidance to improve oral health for patients 3 through 20 years.
Autism Spectrum Disorder: Screening, Diagnosis and Management
Learn to conduct required ASD screening, make diagnoses and referrals, and collaborate with families to provide continuity of care in a primary care setting.
Be in the Know: Private Duty Nursing (PDN) and Prescribed Pediatric Extended Care Centers (PPECCs)
Learn about two Medicaid services that may be available to your young patients with complex medical conditions.
Be Prepared to Screen for Autism Spectrum Disorder
Learn how to prepare your staff to assist you in screening young patients for autism spectrum disorder as part of a checkup or acute care visit.
Behavioral Health: Screening and Intervention
Determine how and when to effectively screen for and treat common childhood and adolescent mental, emotional and behavioral disorders in the primary care setting.
Communicate clear and consistent messages about breastfeeding and provide support to help families achieve their breastfeeding goals.
Building a Comprehensive and Effective Medical Home
Learn how and why to create and sustain a medical home in your primary care practice.
Bullying: Screening and Intervention
Bullying can have immediate and long-term negative physical, behavioral and academic effects. This course defines bullying, describes risks and protective factors, and presents a clinical pathway to identifying and caring for children who bully, are victims of bullying, are bully-victims, or are bystanders.
Case Management Services in Texas
Integrate case management services to support patients and families dealing with special health-care needs or chronic conditions. Includes information about eligibility for Case Management for Children and Pregnant Women.
* Required course for MCO service coordinators. A certificate will be provided upon course completion.
Child Passenger Safety: What Texas Health Steps Providers Need to Know
Every checkup is an opportunity to promote proper use of car seats and safety belts that prevent injury and save lives. This short course provides resources and tools to help you apply best practices recommended by the American Academy of Pediatrics.
Childhood and Adolescent Depression
Identify and manage childhood and adolescent depression, make appropriate referrals, and provide ongoing care and coordination in a primary care setting.
Childhood Anxiety Disorders
Identify and manage childhood anxiety, make appropriate referrals, and provide ongoing care and coordination in a primary care setting.
Choking Prevention for Infants and Young Children
Learn why children ages 3 years and younger have a high risk for choking and how to provide parents and caregivers with effective methods to prevent choking injury and death.
Critical Congenital Heart Disease
Learn about state-mandated newborn screening for critical congenital heart disease, the screening process and appropriate follow-up.
Culturally Effective Health Care
Promote effective communication and improve health outcomes for culturally diverse patients and their families. Includes guidelines for obtaining informed consent and using interpretation services in the medical home.
Developmental Surveillance and Screening: Birth through 6 Years
Integrate validated developmental screenings and ongoing surveillance to meet Texas Health Steps requirements for preventive medical checkups.
Diabetes Screening, Diagnosis and Management
Recognize the symptoms of diabetes and distinguish among the various types that affect children and adolescents. Includes best practices for effectively managing diabetes through medication and lifestyle changes.
Disaster Preparedness in Texas: What Pediatricians Should Know
Take 10 minutes to learn about specific steps physicians can take to “prepare to survive” and “prepare to recover” when a flood, fire, disease outbreak or other disaster strikes. This podcast provides lessons learned from Hurricane Harvey and other recent disasters as well as links to helpful disaster preparedness resources.
Disaster Preparedness: What Texas Health Steps Providers Should Know
Get practical tips and tools to help your office and your patients “prepare to survive” and “prepare to recover” from a natural disaster, disease outbreak or other emergency.
E-Cigarettes: An Epidemic Among Youth
Get practice guidelines about how to screen and counsel adolescents to reduce e-cigarette use.
Check out three adolescent patients and determine who should be assessed for a potential eating disorder. You may be surprised by the answer.
Eating Disorders: Screening and Intervention
Serious but treatable eating disorders affect more than 4 percent of children and adolescents but often go undetected. Learn how to identify and address eating disorders as part of routine clinical care and how to address possible weight stigma in your office.
Implement best clinical practices to identify and treat exercise-induced dyspnea, apply an algorithm to clear athletes to return to play, and determine when specialty care is necessary.
Family-Centered Care: A Primer for Pediatric Health-Care Providers
By collaborating with patients and their families, pediatric health-care providers can help improve health, development and long-term outcomes for all children, including children with disabilities and chronic health conditions.
Fetal Alcohol Spectrum Disorders: Promoting Early Identification and Support for Children
Learn how to provide early diagnosis, referral and support for children who have a range of fetal alcohol spectrum disorders, including those with subtle effects who might be misdiagnosed or undiagnosed.
First Dental Home
Dentists enrolled in Texas Medicaid must complete this training and provide additional certification in order to bill Medicaid for First Dental Home services for children 6 through 35 months.
Food and Housing: Screening and Intervention
Food insecurity and housing instability often go hand in hand and can have dire effects on child and adolescent health and development. This course provides an overview of the problem and offers tools and tips for screening during checkups and connecting families with resources and interventions.
Genetic Screening, Testing, Treatment and Referral
Learn best practices and ethical guidelines for genetic clinical evaluations, screening and testing, appropriate referrals and ongoing care in a primary care practice.
Get to know nonemergency medical transportation (NEMT) services
This tutorial introduces medical and dental office staff to NEMT services and provides resources to help educate eligible patients enrolled in Medicaid about the program and how to schedule free rides.
Health Authorities in Texas
Identify the legal roles and responsibilities of Texas Local Health Authorities and how they ensure public health emergencies and other health issues are addressed in a proper and timely manner.
Hearing and Vision Screening
Implement best practices to provide age-appropriate hearing and vision screenings in the primary care setting and coordinate with school screenings.
High-Risk Behaviors In Young People: Screening and Intervention
Learn about the prevalence, signs, symptoms and interventions for substance use and other risky adolescent behaviors.
How to Conduct Texas Health Steps Medical Checkups
This course provides step-by-step guidance on how to schedule, conduct and document Texas Health Steps medical checkups. The course is recommended for all Texas Health Steps providers and their staff members.
How to Recognize and Respond to Child Trafficking
Learn about the extent of child labor and sex trafficking in Texas and get resources to help you recognize and respond to it.
How to Recognize Child Trafficking
Learn how you can promote timely administration of immunizations as part of Texas Health Steps checkups.
HPV Cancer Vaccination: A Guide for Texas Health Steps Providers
Get practical tips on how and why to consistently promote HPV vaccination of adolescents in your pediatric or primary care practice.
HPV Vaccination in Texas: What Pediatricians Should Know
Take a few minutes to learn about current research and get tips for educating patients and their parents about the importance of following the recommended HPV vaccination schedule. This podcast provides updated clinical guidelines and links to further information.
Identifying and Treating Children with Asthma
Equip Texas Health Steps providers and other health-care professionals to identify asthma, apply a stepwise treatment approach as part of managing asthma patients in a primary care setting and make appropriate referrals for specialty care.
Effectively communicate vaccine information to patients and families, apply the national immunization and catch-up schedules and identify vaccine contraindications and precautions. Includes current ACIP guidelines.
Immunization: Trends and Challenges in Texas
Learn about trends that affect immunization rates and public health in Texas and how primary care providers can promote administration of vaccines according to the ACIP schedule.
Implementing Universal SBIRT in Primary Care: Tools and Resources for Your Practice
Learn about this evidence-based practice to identify, reduce or prevent alcohol substance use and misuse. Texas Medicaid supports universal SBIRT for adolescent and adult patients in primary care and other settings. This tutorial provides and overview of SBIRT, guidelines for implementation and access to resources to help you get started.
Infant Safe Sleep
Integrate best practices to identify and reduce risks for sleep-related infant death and motivate parents and caregivers to provide safe sleeping environments. Includes proven communication strategies and resources.
Integrating Postpartum Depression Screening into Routine Infant Medical Checkups
Maternal and child health are intricately linked. This tutorial explores the impact of postpartum depression and provides guidance about how Texas Health Steps providers can receive separate reimbursement for conducting maternal postpartum depression screening during an infant’s regular checkup.
Interpersonal Youth Violence
Implement strategies to identify, intervene in and prevent behaviors such as bullying, self-injury and suicide, dating violence and sexting. Includes guidelines for ethically responding when an adolescent patient perpetrates violence.
Introduction to Medicaid Administrative Claiming
Learn how public entities such as school districts can be reimbursed for connecting individuals to services funded by Medicaid.
LARC: Texas Guidelines and Recommendations
Long-acting reversible contraception, known as LARC, is safe, effective and recommended by Texas Health Steps and other state programs. This course covers state requirements and best practices for making LARC devices available to patients of childbearing age.
LARC: What Texas Health Steps Providers Need to Know
Learn why and how to integrate long-acting reversible contraception (LARC) into routine clinical practice.
Limiting Adolescent Access to Opioids
Learn how pediatricians and other primary care providers can restrict adolescent access to opioids and help prevent young people from misusing these powerful medications.
Management of Overweight and Obesity in Children and Adolescents
Adopt best practices that can be used in primary care to assess, treat and prevent overweight and obesity in children and adolescents.
Managing Type 1 Diabetes: The Early Days
Get practical guidance about how to help young patients and their families learn to manage type 1 diabetes.
Medicaid Case Management Services in Texas: A Course for Case Managers
Learn how case managers support Medicaid services for children and families in Texas. This course provides guidance about how case managers work with various state programs, including traditional fee-for-service Medicaid and managed care organizations.
* Required course for Case Management for Children and Pregnant Women case managers.
Medicaid Waivers: What Texas Health Steps Providers Need to Know
Medicaid waivers can be the gateway to services for children with disabilities. This short course provides a targeted overview of waiver programs and recommendations for helping your patients and their families connect to services.
Medical Home Management: A Course for Texas Health Steps Providers and Staffs
This interactive tutorial outlines a whole-office approach to a medical home that is welcoming and supportive for patients, families and staff members.
Gain communication skills that can be used in the primary care setting to motivate children, adolescents and families to make positive health changes, improve self-care for chronic conditions and avoid high-risk behaviors.
Motivational Interviewing to Promote Healthy Weight
Collaborating with patients can help them establish and maintain healthy habits. Learn how to get started.
Newborn Hearing Screening
Implement best practices that can be used in the primary care setting to manage parent anxiety about out-of-range newborn hearing results and to encourage follow-up care.
A primary care provider’s guide to Texas’s newborn screening program, including how to interpret results, communicate with parents and follow up to ensure necessary treatment occurs in a timely manner.
Opioid and Substance Use: Caring for Texas Mothers and Babies
Take 10 minutes to view a video filled with information and resources about addressing opioid and substance use among pregnant women and new mothers.
Oral Evaluation and Fluoride Varnish
Implement practices required for physicians, advanced practice nurses and physician assistants to perform Oral Evaluation and Fluoride Varnish services in Texas. Completion of this course and additional certification are required to bill Medicaid for the service.
Oral Health and Dental Services for Pregnant Women
Learn to teach pregnant women about the importance of oral health and the safety of dental care during pregnancy.
Oral Health For Primary Care Providers
Promote oral health for infants and children in a primary care practice. Includes screening and treatment guidelines as well as age-appropriate anticipatory guidance
Pediatric Hypertension: Screening, Diagnosis and Management
Implement current guidelines for measuring blood pressures in children and adolescents, treating hypertension, and seeking specialty or emergency care.
Perinatal and Postpartum Depression: Screening and Detection
Learn how primary care providers have a critical role in promoting maternal health and reducing maternal morbidity and mortality.
Integrate best practices for providing pharmacy services to patients in Texas Medicaid, the Kidney Health Care Program, Healthy Texas Women Program and the Children with Special Health Care Needs program.
Postpartum Health: Screening and Intervention
Learn how to identify and address factors that affect maternal health and safety in the first year after childbirth.
Preconception Health: Screening and Intervention
Integrate best practices for preconception health care and counseling into preventive medical checkups.
Prenatal Health: Screening and Intervention
Integrate best practices for prenatal health care and counseling into preventive medical checkups.
Prescribed Pediatric Extended Care Centers: An Introduction for Texas Health Steps Providers
Learn how to determine whether a child or adolescent with specialized medical conditions qualifies for ongoing, skilled nursing in a Prescribed Pediatric Extended Care Center (PPECC), how to prescribe PPECC services and how to coordinate care with a PPECC.
Preventing Child Heatstroke in Vehicles
Take our quick quiz to learn about simple habits you can recommend to parents that can save their child’s life.
Preventing Child Heatstroke in Vehicles: What Texas Health Steps Provider Need to Know
Vehicular heatstroke is the second leading cause of vehicle-related deaths for children. This course provides effective prevention education and counseling you can use to help parents develop strategies to make sure their children are not left alone in a hot vehicle.
Preventing HIV with Pre-Exposure Medication: What Texas Health Steps Providers Should Know
Learn how you can protect young patients through routine screening, risk-based testing, and prescribing pre-exposure prophylaxis medication that reduces the risk of acquiring HIV by up to 99 percent.
Preventing Lead Exposure
Learn how to screen, test and retest for lead levels in children; how to properly collect blood specimens; and how to use the state’s 24/7 electronic system for mandatory reporting of test results.
Preventing Unintentional Injury: Birth through 20 Years
Learn to identify risk factors for unintentional injury in children and adolescents, provide age-appropriate anticipatory guidance and apply state law and best practices to prevent unintentional injury and death.
Private Duty Nursing Services: An Introduction for Texas Health Steps Providers
Learn how to make appropriate referrals for medically necessary private duty nursing services for children and adolescents who are eligible for Texas Medicaid.
Promoting Adolescent Health
Adopt best practices for adolescent screening, including recommended schedules, effective communication and enhanced clinical procedures. Includes video examples of effective screening techniques.
Promoting Healthy Participation in Sports: Overview for Texas Health Steps Providers
Learn about the benefits of youth sports participation and how to integrate support for healthy physical activity, safety tips and injury prevention into Texas Health Steps medical checkups.
Promoting Healthy Sleep for Children and Adolescents
Sleep plays an important role in cognitive and psychosocial development. Learn how to assess for sleep disorders and assist families in creating and maintaining healthy sleep routines for infants, children and adolescents.
Promoting Healthy Sleep for Children and Adolescents
Quiz yourself on healthy sleep habits and learn how your advice can help children and families develop better sleep hygiene.
Promoting Maternal Health in Texas
Learn how health-care providers can promote healthy outcomes for Texas mothers and babies as well as gain insight into leading health risks and opportunities to prevent pregnancy-related complications and death.
Promoting Postpartum Behavioral Health Screening
Examine the case of a young mother and her new son to learn practical ways to address maternal mortality and morbidity risk factors.
Promoting Protective Factors and Resilience in Children and Adolescents
Learn how resilience, the ability to overcome hardship, helps children and adolescents reach their full potential and lead healthy and productive lives.
Promoting Timely Adolescent HPV Vaccination
Why is the 11-year checkup the ideal time for HPV vaccination? Read on to learn more.
Promoting Timely Pertussis Vaccinations
Take our quick quiz to test your knowledge of the importance and recommended timing of Tdap vaccination during pregnancy.
Recognizing, Reporting and Preventing Child Abuse
Implement best practices to effectively screen for child abuse, comply with legal reporting requirements and promote protective factors that prevent child abuse.
Reducing Opioid Use in Texas
An overview of the opioid epidemic and how physicians can help to reduce opioid use in Texas.
Screen Time Out: Managing Electronic Media Use by Children and Adolescents
Learn how to use pediatric health guidelines to inquire about child and adolescent digital media use and to counsel parents about monitoring their children’s media use and setting limits on screen time.
Sickle Cell Disease and Trait
Learn to coordinate care for children and adolescents with sickle cell disease and trait, including collaborating with patients, families and medical specialists.
SMA: Newborn Screening, Treatment and Referral
Spinal muscular atrophy (SMA) is a rare, life-threatening disorder that may not be detected until irreversible symptoms occur. Newborn screening can detect babies who need additional testing and evaluation to determine whether they have SMA. Early detection and treatment is vital to save the life of a baby with SMA.
Social Isolation and Loneliness: Effects on Children and Adolescents
Families across Texas have experienced social isolation and loneliness that can have immediate and long-term effects on physical, mental and behavioral health. Learn how to screen for social isolation and loneliness and address their effects as part of routine checkups.
Social Isolation and Loneliness: The Effects Continue
Young people react to social isolation and loneliness differently at different ages. Take our quiz to learn about common signs you may observe in children, teens and young adults.
Implement best practices for collecting and handling specimens in a clinical setting as well as requirements for submitting specimens to the Texas Department of State Health Services.
Spinal Muscular Atrophy (SMA)
Learn more about your role in identifying and responding to spinal muscular atrophy (SMA), which is now included in the mandatory blood spot screening for babies born in Texas.
Sports-Related Concussion: Diagnosis, Treatment and Prevention
Learn to diagnose, treat and prevent concussion in children and adolescents.
Talking to Teens about Alcohol
Get tips for addressing suspected alcohol use in your adolescent patients.
Teen Consent and Confidentiality
Establish practice guidelines that comply with legal requirements for obtaining consent and maintaining confidentiality in providing health-care services to adolescents.
Telemedicine and Telehealth Services: What Texas Health Steps Providers Need to Know
Learn how you can use medical telecommunications to provide medical and therapy services to patients enrolled in Texas Medicaid.
Ten Steps to Successful Breastfeeding: Birth Practices that Support Breastfeeding
Propose labor and delivery practices that support breastfeeding, recommend a breastfeeding position often used after a C-section, evaluate latch and analyze contraindications to breastfeeding.
Ten Steps to Successful Breastfeeding: Breastfeeding Overview
Learn how to protect, support and promote breastfeeding in accordance with the Baby Friendly Hospital Initiative and Texas Ten Steps Program.
Ten Steps to Successful Breastfeeding: Prenatal and Postnatal Practices that Support Breastfeeding
Learn how to promote patient-centered communication about breastfeeding, recognize benefits/risks of different feeding methods and support breastfeeding after a mother returns to the workplace.
Texas Health Steps Medicaid Courses and Resources
Find out how to get helpful Texas Health Steps-focused courses and resources at your fingertips. Check out several case examples to see how the courses and resources can help you keep young patients on a path to good health.
Texas Health Steps Provider’s Guide to the Periodicity Schedule
This brief interactive tutorial explains step-by-step how to interpret and apply the Periodicity Schedule requirements in order to perform the checkups correctly, satisfy requirements for a complete checkup and ensure your patients receive the full benefit of Texas Health Steps preventive care services.
Texas Health Steps Services for Children in Foster Care
Children and youth who enter state conservatorship are entitled to a “3 in 30” series of exams plus coordinated ongoing care. This course provides clinical guidelines and updated resources to help you conduct the required exams and provide follow-care for this high-needs patient population.
Texas Health Steps: Overview
Learn to perform and be reimbursed for preventive medical checkups and other pediatric and adolescent services through the Texas Health Steps Medicaid program.
Texas Medicaid Mosquito Repellent Benefit: What Pharmacy Providers Need to Know
Learn how to dispense free or low-cost mosquito repellant year-round to eligible recipients using the state’s standing order or a valid prescription.
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.
The Texas Health Steps Provider’s Guide to the Periodicity Schedule
There’s one essential tool that guides you through every required component of Texas Health Steps preventive medical checkups. Learn how to get the most from the Periodicity Schedule so you can focus on your patients.
The Virus Among Us: Protecting Texas Mothers and Babies from Cytomegalovirus
There is no vaccine or cure for cytomegalovirus (CMV), the most common cause of congenital hearing loss. This tutorial provides guidelines about how to prevent CMV infection during pregnancy and how to provide support and resources for babies affected by the virus.
Therapy Referrals for Children: A Guide for Texas Health Steps Providers
Learn how to make timely, appropriate referrals for pediatric physical, occupational and speech therapy (PT/OT/ST) services and to facilitate effective communication with families and therapy providers.
Transition Services for Children and Youth with Special Health-Care Needs
Learn to develop and implement transition plans for patients with chronic health conditions or disabilities as they approach school age or adulthood.
Trauma-Informed Care for Children in Foster Care
Children and youth in foster care are entitled to a “3 in 30” series of services and coordinated ongoing care. This module provides guidance about providing trauma-informed practices in the medical home to meet the needs of young people in foster care.
Tuberculosis Screening and Testing During Checkups
Review some key facts about TB and determine how you would respond to a young patient’s Texas Health Steps TB Questionnaire.
Tuberculosis Screening, Testing and Treatment: A Guide for Texas Health Steps Providers
Learn recommended procedures that will equip Texas Health Steps providers and others to employ best practices and follow state requirements for TB screening, testing and treatment in children and adolescents.
Verifying Medicaid Eligibility
Find out how to improve office workflow and efficiency while ensuring that patients receive necessary services.
XALD: Newborn Screening, Treatment, and Referral
Learn why Texas has initiated newborn screening for X-linked adrenoleukodystrophy (X-ALD) and how to respond when a newborn’s results are out-of-range.
Youth Suicide: Addressing Risks, Plans and Behaviors
This module provides updated information about addressing youth suicide as well as helpful resources for developing a team workflow and self-care practices that support the entire staff in handling challenging patient situations.
Youth Suicide: The Impact on Health-Care Providers
Read on for guidance about ways to prioritize your own well-being to help you and your staff continue offering hope and support to others.