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Texas Health Steps

Texas Health Steps (THSteps), formerly known as Early and Periodic Screening, Diagnosis and Treatment program, is specifically a children's program under Texas Medicaid which provides medical and dental preventive care and treatment to Medicaid clients who are birth through 20 years of age. THSteps assists eligible recipients and their parents or guardians to:

  • Find a qualified medical or dental provider enrolled in Medicaid
  • Set up appointments to see a doctor or dentist through THSteps Outreach
  • Arrange transportation or reimbursement for gas money to see a doctor or dentist
  • Answer questions about eligible services

If you would like additional information on THSteps please go to Texas Health Steps Provider Information to get additional details or changes that might affect your practice.


Preventive Care Medical Checkups and Services

Texas Health Steps provides medical checkups and preventive services for Medicaid client’s birth through 20 years of age. Services are provided by Medicaid enrolled Texas Health Steps providers and are based on the Texas Health Steps Periodicity Schedule. The Periodicity Schedule lists specific medical screening components for infants, children and youth and the various ages when they are required. Texas Health Steps medical checkups must include regularly scheduled examinations and screenings of the general physical and mental health, growth, development, and nutritional status of infants, children and youth. The following federal and state mandated components must be documented in order for the checkup to be considered complete:

  • Comprehensive health and developmental history, including physical and mental health development- A complete history includes family and personal medical history along with nutritional screening, developmental surveillance and screening, and behavioral, social and emotional screening. The Texas Health Steps Tuberculosis Questionnaire is required annually beginning at 12 months of age, with a skin test required if screening indicates a risk of possible exposure.
  • Comprehensive unclothed physical examination- A complete exam includes the recording of measurements and percentiles to document growth and development including length or height and weight (0-20 years), fronto-occipital circumference (0-2 years), body mass index (2-20 years) and blood pressure (3-20 years). Oral health screening and hearing and vision screening are also required components of the physical exam.
  • Immunizations appropriate for age and health history- Immunization status must be screened at each medical checkup and necessary vaccines must be administered at the time of the checkup and according to the current ACIP “Recommended Childhood and Adolescent Immunization Schedule-United States,” unless medically contraindicated or because of parental reasons of conscience including religious beliefs.
  • Laboratory tests appropriate for age and risk, including lead toxicity at specific federally mandated ages- Required age based laboratory screenings include newborn screening and anemia and lead screening. Risk-based lab screenings include testing for hyperlipidemia, diabetes, and sexually transmitted diseases including HIV, syphilis and gonorrhea/chlamydia.
  • Health education including anticipatory guidance- Anticipatory guidance is a federally mandated component of the medical checkup and health education and counseling is required in order to assist parents, caregivers and clients in understanding what to expect in terms of growth and development. Health education and counseling includes healthy lifestyle practices as well as prevention of lead poisoning, accidents and disease.
  • Dental referral- Clients must be referred to establish a dental home beginning at 6 months of age or earlier if needed. Subsequent referrals must be made until the parent or caregiver confirms that a dental home has been established. The parent or caregiver may self-refer for dental care at any age.


Listed below are the Texas Health Step documents for our providers.

If you have any questions please call Provider Services at 1-888-243-3312 Monday through Friday from 8 a.m. to 5 p.m. or Contact us here