Texas Health Steps Provider Information


PERIODICITY SCHEDULE - The Texas Health Steps Medical Checkup Periodicity Schedule for infants, children, and adolescents (birth through 20 years of age) has been revised to reflect policy updates effective December 1, 2011. Printed copies dated April 2013 reflect an update to formatting of the dental referral component. An October 2013 copy reflects a re-print date only. The April 2013 version is available for download in both Color [PDF 337KB] and Black & White [PDF 385KB].

Anticipatory Guidance-A Guide for Providers has been designed specifically for THSteps providers. It offers age-appropriate anticipatory guidance topics for children birth through 20 years of age. 

ADOLESCENT HEALTH GUIDE - Designed for health-care providers, social workers, counselors, teachers, and other professionals who provide services, information, and support to young people. It offers guidelines on health and health-related legal issues pertinent to the adolescent years. Adolescent Health-A Guide for Providers [PDF 1MB] Text Only


Measles Outbreak - The United States is currently experiencing a large, multi-state outbreak of measles linked to an amusement park in California. The outbreak started in December 2014 and has spread to more than a dozen other states. Texas does not have any cases related to the outbreak. Measles is a serious respiratory disease caused by a virus. It is highly contagious and spreads through the air when an infected person coughs or sneezes. Measles can cause serious health complications and even death. Measles can be prevented with the MMR (measles, mumps, and rubella) vaccine. Read more about the vaccine and who needs it on the Centers for Disease Control and Prevention (CDC)website

Mental Health Screening Tools Recommended based on Release of 2014 AAP Preventive Pediatric Health Care Recommendations Posted October 28, 2014

On September 1, 2014, reporting of Critical Congenital Heart Disease (CCHD) became mandatory in Texas. Please go to the Newborn Screening website at www.dshs.state.tx.us/newborn/ for complete information on CCHD screening and reporting in Texas, and to access the CCHD toolkit. 



DSHS News Releases

FLU - www.texasflu.org/

Influenza Information for Health Care Professionals



Anticipatory Guidance Resource List [PDF 112KB] Text Only

Asthma-Guidelines for Diagnosis and Management

Parent Health Care Guide - Designed for families to help in determining the appropriate level of health care needed for different illnesses and or injuries. [PDF 3.42MB]

Checkup Components 

Contact Information-THSteps Provider Relations / Oral Health Program

Developmental Calendar - "A Parent's Guide to Raising Healthy, Happy Children"

Developmental Screening Forms

DFPS Medical Services

Information for Health and Medical Professionals Referring To Early Childhood Intervention (ECI)


Frequently Asked Questions (FAQ)s


IMPROVE (Interactive Medicaid Provider Voice) is a web-based, provider-focused initiative designed to foster better relations and understanding between medical providers and Medicaid.  IMPROVE allows providers who pinpoint systemic issues within the Medicaid program the opportunity to suggest resolutions.

Your Texas Benefits Medicaid Card and Provider Website - Information on the Medicaid ID card and Medicaid eligibility verification website.

Medical Transportation Program - HHSC    

Medical Transportation Program Tutorial (Link online at txhealthsteps.com)

Modifier 25 Frequently Asked Questions [PDF 92KB]

Parent Companion: First Five Years - Texas Education Agency, Region XIII Education Service Center, and Texas Parent to Parent (TxP2P)  unveiled a new online resource for parents of young children. The website features information for parents and caregivers of children with diagnosed or suspected disabilities from birth through 5 years of age.

Provider Enrollment

Provider Outreach Referral Service

THSteps Background

THSteps and How It Works


DSHS Immunization Branch

CDC's Immunization Schedule

Information on Vaccine Shortages


CHANGES TO DSHS NEWBORN SCREENING RESULT REPORTING STATEMENTS - At the end of February 2014, a new analyte, C3+C16, was added to the screening algorithm of fatty acid disorders. Possible results for this new analyte on the report may be Low, or Normal. Link to http://www.dshs.state.tx.us/lab/newbornscreening.shtm and then scroll down to Recent Notices: Changes to NBS Result Reporting Statements, effective February 2014 (PDF) for complete information.

LabGuides Tutorials - LabGuides are short tutorials designed to help providers meet the acceptance criteria for certain specimens sent to the DSHS Laboratory.

THSteps Medical Checkup Laboratory Requirements [PDF 43KB]  Text only

DSHS Laboratory Checklist for THSteps Medical Providers [PDF 46KB]  Text only

Texas Health Steps Risk Based Guidance Tool Color [PDF 304KB] B&W [PDF 304KB] Text only

Information Regarding Blood Spot Card Storage and Use

Clinical Chemistry Remote Data Services

DSHS Laboratory Home Page

Lab Supply Order Information - Includes the G-THSTEPS Specimen Submission Form (Scroll to bottom of that page to find information on how to obtain the G-THSTEPS form via email or phone) 

Serum Specimen Criteria

Specimen Collection and Handling


THSteps Preventive Care Medical Checkup Requirement for Elevated Blood Levels - In accordance with Texas Administrative Code (TAC) Title 25 (Part 1) Chapter 37 Subchapter Q Rule §37.334, the elevated blood lead level requirement has been reduced from 10 mcg/dL to 5 mcg/dL. For an elevated blood lead level of 5 mcg/dL or greater, the provider must perform a confirmatory test using a venous specimen. The confirmatory specimen may be sent to the Department of State Health Services (DSHS) Laboratory, or the client or specimen may be sent to a laboratory of the provider’s choice.

Information related to blood lead screening and reporting for clients who are 15 years of age and older is available on the DSHS Blood Lead Surveillance Group’s website at www.dshs.state.tx.us/lead/providers.shtm

Texas Childhood Lead Poisoning Prevention Program (TXCLPPP)


Texas Medicaid Program HHSC Internet

Texas Medicaid Provider Procedures Manual (TMPPM)-The TMPPM will be updated monthly with policy and procedure changes that were implemented at the beginning of the previous month. The updated chapters will be published around the 15th of each month. The manual is available on the TMHP website on the Texas Medicaid Provider Procedures Manual Website Page and can be accessed by clicking the Reference Material button on any web page in the Texas Medicaid provider section.

TMHP Texas Health Steps Page (The THSteps Quick Reference Guide and other helpful information can be found on this TMHP internet page)

Best Practices in Delivering Medicaid Services

Medicaid and CHIP Statistics

Periodicity Schedule (Posted at top of page)

Online Provider Education (OPE)-Continuing Education (CE) Hours - Texas Health Steps' award-winning online program offers FREE CE Courses to enhance your ability to provide preventive health, mental health, oral health and case management services to Medicaid eligible children in Texas. First time users will need to register.

UNAUTHORIZED WEBSITE ADVISORY:  Please be advised that there is a separate, privately owned and operated website located at http://ww42.texashealth steps.com that is not authorized, or affiliated with, Texas Health Steps, DSHS, or any of the Texas Health and Human Services agencies, which do not approve of the website or endorse any of its contents. Contact info@txhealthsteps.com if you have questions. 

TMHP Provider Education Home Page - This is the homepage for all of the provider education opportunities offered by TMHP. Providers can run computer-based training (CBT) modules, register for workshops and webinars, listen to or read transcripts of past webinars or Radio TMHP offerings, and access written workshop materials. To view a CBT, you must be registered on the Learning Management System (LMS) server.

Vendor Drug Program-Pharmacy Continuing Education


Ages & Stages Questionnaires®

Case Management for Children & Pregnant Women

Children's Health Insurance Program (CHIP)

Developmental Behavioral Pediatrics Online

Early Childhood Intervention (ECI)


Newborn Screening

Oral Health Program

Spinal Screening Program

Texas Medicaid and Healthcare Partnership (TMHP)

Texas Medicaid Vendor Drug Program

Texas Women's Health Program

Vision and Hearing Screening

WIC - Special Supplemental Nutrition Program for Women, Infant and Children


Last updated March 05, 2015