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 changes effective November 1, 2015. Place an order online for laminated hard copies, or download the LARGE version in Color [PDF 152KB] and Black & White [PDF 104KB] or Pocket-Sized (MINI) in Color [PDF 128KB] and Black & White [PDF 88KB]. Please contact a THSteps Provider Relations Representative for additional information. PLEASE NOTE: DO NOT REFER TO VERSIONS DATED PRIOR TO NOVEMBER 16, 2015.

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 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 692KB] Text Only Updated August 2016

Texas Health Steps Policy Changes 


Effective for dates of service on or after January 1, 2017, Texas Health Steps (THSteps) mental health screening procedure code 99420 will be discontinued by Centers for Medicare and Medicaid Services (CMS) in accordance with the 2017 annual Healthcare Common Procedure Coding System (HCPCS) update. Procedure code 99420 will be replaced by two new procedure codes, 96160 and 96161.

Mental health screening for behavioral, social, and emotional development is required at each THSteps checkup. Mental health screening using one of the validated, standardized mental health screening tools recognized by THSteps is required once for all clients who are 12 through 18 years of age. A mental health screening must be submitted with procedure code 96160 for a screening tool completed by the adolescent, or procedure code 96161 for a screening tool completed by the parent or caregiver on behalf of the adolescent. When claims with procedure code 96160 or 96161 are submitted for mental health screenings, one of the validated, standardized mental health screening tools recognized by THSteps must be used. Only one procedure code (96160 or 96161) may be reimbursed for the mental health screening per client per lifetime based on the description of the procedure code and the service rendered. Procedure codes 96160 and 96161 will not be reimbursed for the same client for any date of service. Procedure code 96160 or 96161 must be submitted with the same date of service by the same provider as procedure code 99384, 99385, 99394, or 99395. The client’s medical record must include documentation identifying the tool that was used, the screening results, and any referrals that are made.

Note: Texas Medicaid managed care organizations (MCOs) must provide all medically necessary, Medicaid-covered services to eligible clients. Administrative procedures such as prior authorization, pre-certification, referrals, and claims/encounter data filing may differ from traditional Medicaid (fee-for-service) and from MCO to MCO. Providers should contact the client's specific MCO for details.

For additional information, please refer to the Texas Medicaid Provider Procedures Manual Children’s Services Handbook, subsection, “Comprehensive Health and Developmental History,” or call the TMHP Contact Center at 1-800-925-9126. 

Federal Re-Enrollment 

STAR Kids - A new Texas Medicaid managed care program that provides Medicaid benefits to children and adults 20 and younger who have disabilities.


DSHS News Releases

FLU - www.texasflu.org/

Zika in Texas 


Ages & Stages Questionnaires®

AAP Developmental Behavioral Pediatrics Online

Anticipatory Guidance Resource List [PDF 112KB] Text Only

Asthma-Guidelines for Diagnosis and Management

Caries Risk Assessment Now Mandatory - As of October 1, 2015, Texas Health Steps requires caries risk assessment and documentation to be included in all dental exams. Reimbursement for dental exams on or after January 1, 2016, will be denied by Medicaid unless a caries risk assessment has properly been conducted, documented, and coded.

Checkup Components 

Child Health Clinical Record Forms

Contact Information-THSteps Provider Relations Repesentatives

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

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

Developmental Screening Forms

DFPS Medical Services

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



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)

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 and How It Works


DSHS Immunization Branch

CDC's Immunization Schedule

Information on Vaccine Shortages


HIV and Dyslipidemia Screening - For information on HIV and dyslipidemia screening specimen collection link to Clinical Chemistry Testing Services-Recent Notices, then click on Specimen Requirements for THSteps HIV and Dyslipidemia Screening (Distributed 2/18/2016).

Effective January 1, 2016, only newborn screening specimen collection kits that are thought to be defective may be returned. - Link to Newborn Screening Laboratory >> scroll down to Recent Notices: >> then click on Changes to the DSHS Return Policy for Paid Newborn Screening Specimen Collection Kits (Effective 1/01/16)

Lab Supply Order Information - Includes the G-THSTEPS Specimen Submission Form (Revised September 2016) - Scroll down on that page to find a link to the sample G-THSTEPS form along with information on how to obtain the form via email or phone. Links to other DSHS laboratory forms, laboratory fee schedules, and other important information required for specimen submission can also be found on that page.

THSteps Medical Checkup Laboratory Requirements [PDF 140KB] Text Only Revised January 2016

DSHS Laboratory Checklist for THSteps Medical Providers [PDF 56KB] 

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

Newborn Screening (NBS) Laboratory

NBS Laboratory NOTICES

Information Regarding Blood Spot Card Storage and Use

DSHS Laboratory Home Page

Clinical Chemistry Testing Services- The DSHS Clinical Chemistry Laboratory provides clinical testing services in support of screening programs. 

The DSHS Remote Data System allows providers to access results over the web, and in some cases enter and submit patient data electronically. Results are available for the following:

  • Newborn Screening (NBS) tests
  • Clinical Chemistry tests: Blood Lead, Total Hemoglobin, Hemoglobin Electrophoresis, Glucose, Lipid Panel/Cholesterol, and RPR
  • Public Health Microbiology: TB, HIV/STD, Serology, Virology, Parasitology, Bacteriology, Rabies, etc.

For more information on DSHS Remote Data Systems, link to Frequently Asked Questions.

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


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.texas.gov/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) 


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.

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


Last updated January 4, 2017