Texas Health Steps - Public Health Region 1


Texas Health Steps (THSteps) is the Texas name given to the federally mandated program known as EPSDT (Early and Periodic Screening, Diagnosis, and Treatment). It is a service of the Texas Medicaid program. THSteps provides preventive health care services at regular and periodic intervals to Medicaid clients who are from birth through 20 years of age.


The mission of Texas Health Steps (THSteps) is to expand client awareness of existing health services, to recruit and retain a qualified provider pool, and to ensure comprehensive services are available through public and private providers so that eligible young people in the Texas Health Steps client population can receive medical and dental care before health problems become chronic and irreversible.

Department of State Health Services, PHR 1 - Lubbock
Texas Health Steps Program 

6302 Iola Avenue 
Lubbock, TX 79424
Phone: 806-783-6445
Fax: 806-783-6455

Department of State Health Services, PHR 1 - Amarillo
Texas Health Steps Program 
3407 Pony Express Way, Mail Code 5750 
Amarillo, TX  79118 

For THSteps-related questions, contact Josh Derby.


Josh Derby, LBSW 
Department of State Health Services-Reg. 01 
Program Supervisor III- Texas Health Steps 
6302 Iola Ave. Lubbock TX 79424 
1(806)783-6445 OFFICE 
1(806)407-2003  CELL 
1(806)783-6455 FAX 

Ashley Mojica 
Texas Health Steps Provider Relations Representative 
Texas Department of State Health Services 
6302 Iola Ave, Mail Code 1899 
Lubbock, TX  79423 
Office: 806-783-6446 
Cell: 806-557-8595 
Fax: 806-783-6455 
Email: Ashley.Mojica@dshs.texas.gov 

Frannie Nuttall 
Texas Health Steps Provider Relations Representative 
Texas Department of State Health Services 
3407 Pony Express Way, Mail Code 5750 
Amarillo, TX  79118 

Case Management Providers

THSteps Case Management Providers

Rebecca Flores Williams LBSW-IPR 
Case Management Supervisor 
Department of State Health Services Region 01 
6302 Iola 
Lubbock, TX  79424 
Office:  806-783-6442 
Cell: 806-786-1888 

Online Provider Education

Texas Health Steps Online Provider Education offers a range of high-quality training opportunities to THSteps providers. This FREE training is designed to improve providers' ability to deliver comprehensive preventive health, mental health, dental, and case management services to Medicaid-eligible children from birth through 20 years of age.

THSteps Online Provider Education consists of several self-paced, web-based training modules. Each module is divided into sections, with an evaluation component following each section. These evaluations enable trainees to assess their knowledge as they complete each module. An online certificate of completion is issued after a trainee successfully completes an entire module.

Continuing education (CE) credits may be awarded to eligible participants after the successful completion of each module.  Go to:  http://txhealthsteps.com/

    Services Include

    DSHS Case Management

    DSHS Case Managers ensure access to case management services for clients who are eligible for the following programs: 

    • Children with Special Health Care Needs (CSHCN-SP) 
    • Case Management to Children receiving SSI 
    • Case Management for Children and Pregnant Women   
    • Assessments for Personal Care Services (PCS) 

    When no other case management system is available, the social workers provide the case managers directly. After assessing the medical, rehabilitative, developmental, educational, and social strengths and challenges of the child and family, a service plan is developed in partnership with the family to obtain needed services in the community. Our goal is to empower the family to meet their identified needs.  

    Case managers can assist with: 

    • Access to needed medical services 
    • Educational concerns 
    • Financial concerns 
    • Equipment and supplies 
    • Family problems 
    • Finding help in the local community 

    Other Case Management Services Activities: 

    • Community education 
    • Community presentations 
    • Interagency activities 
    • Community resource coordination groups 

    Case Management for Children and Pregnant Women 

    Case Management for Children and Pregnant Women provides services to children with a health condition/health risk, birth until 21 years of age, and to high-risk pregnant women of all ages, in order to encourage the use of cost-effective health and health-related care.  Together, the case manager and family will assess the medical, social, educational, and other medically necessary service needs of the Medicaid-eligible recipient. The regional Coordinator recruits certifies, and trains qualified Case Management contractors who provide services for their approved area. They review prospective applicants and provide training, as well as ongoing technical assistance and quality assurance for providers who are approved by the department. 

    Children with Special Health Care Needs Services Program 

    The CSHCN Services Program (CSHCN-SP) is a health benefits program offered through the DSHS.  This program provides special services or equipment for eligible children with certain health problems.  A child can become eligible for CSHCN-SP if: 

    • The child lives in Texas 
    • The child is under age 21 or has cystic fibrosis 
    • The child has a coverable condition 
    • The family is within the income and asset limits 

    CSHCN-SP applicants must apply for Medicaid / Medically Needy Program, Medicaid Buy-In for Children (MBIC), and Children's Health Insurance Program (CHIP) and send copies of determinations to the regional DSHS office.  If the child is NOT a U.S. citizen, a CHIP determination is not required. 

    CSHCN-SP will pay for such things as: 

    • Doctor visits 
    • Up to 60 days in the hospital 
    • Braces and artificial limbs 
    • Prescription drugs 
    • Special equipment 
    • Medical supplies 
    • Home health care 
    • Travel costs to medical appointments 

    CSHCN-SP Eligibility Staff enters applications submitted to obtain medical assistance through CSHCN Services Program. In the application process, the staff is required to verify documents, enter various proofs of residency and income, and work with families to assure that the process is completed. 

    Personal Care Services (PCS) Benefit 

    Personal Care Services is a medical benefit that provides assistance with activities of daily living (ADLs) and instrumental activities of daily living (IADLs) to help clients with physical, cognitive, or behavioral functional limitations related to a disability, physical or mental illness, or chronic condition. 

    Examples of Activities of Daily Living (ADLs) 

    • Bathing 
    • Dressing 
    • Feeding 
    • Grooming 
    • Mobility 
    • Toileting/Toileting hygiene 
    • Transfers/Non-ambulatory movements 

    Examples of Instrumental Activities of Daily Living (IADLs) 

    • Housekeeping 
    • Laundry 
    • Meal preparation 
    • Money Management 

    PCS Does Not Include: 

    • Services when the client has the physical, cognitive, and behavioral abilities to perform the ADL or IADL 
    • Duplication of Medicaid services 
    • Nursing Care 
    • Respite care or childcare 

    Who Can Receive the Personal Care Services Benefit? 

    The PCS benefit is available to Texas Medicaid clients who 

    • Are 0-20 years of age  
    • Are enrolled with Texas Medicaid as THSteps clients  
    • Have physical cognitive or behavioral limitations related to a disability or chronic health condition that inhibits the client's ability to accomplish ADLs or IADLs. 

    If you have comments or suggestions, please contact us

    Case Management for Children and Pregnant Women (CPW) Program 

    Case Management for Children and Pregnant Women is a Medicaid benefit that provides health-related case management services to children birth through 20 years of age with a health condition and to high-risk pregnant women of any age. Case managers help clients gain access to needed medical, social, educational, and other services. 

    To request case management services, please call the Texas Health Steps Outreach and Informing Hotline at 1-877-THSTEPS (1-877-847-8377). 

    Children and Pregnant Women Providers 

    View Case Management Providers for Children and Pregnant Women by Region to see a current list of participating CPW providers.  

    The Children and Pregnant Women Program encourages social workers and registered nurses to become CPW providers.   

    Extra Help!

    The THSteps toll-free line allows individuals to get information on Medicaid services and how to access them. By calling the toll-free number 1-877-THSTEPS (1-877-847-8377), a client can receive: 

    • Help finding a doctor or dentist
    • Help setting up appointments
    • Help getting a ride to a checkup
    • Case management referrals
    • Other needs as requested

    Texas Health Steps Services

    • Medical screening
    • Dental checkups
    • Immunizations
    • Vision exams/services
    • Hearing exams/aids
    • Comprehensive care services
    • Case management
    • Laboratory services

    Texas Health Steps Medical Checkups

    Children need health checkups at:

    Babies and toddlers:

    • Newborn (before 5 days old)
    • 2 weeks
    • 2 months
    • 4 months
    • 6 months
    • 9 months
    • 12 months
    • 15 months
    • 18 months
    • 2 years
    • 2 ½ years
    • 3 years
    • 4 years
    • 5 years

    Older children, teens, and young adults (ages 6 to 20): Once a year.

    Medical checkups include:

    • Health history (family and neonatal included)
    • Physical Examination
    • Measurements (height and weight)
    • Developmental M-CHAT Assessment
    • Mental Health Assessment
    • Immunizations
    • TB Screening
    • Laboratory Screening lead, STD, Hgb or Hct
    • Sensory screening (vision and hearing)
    • Health Education

    THSteps Related Links

    External links to other sites are intended to be informational and do not have the endorsement of the Department of State Health Services. These links may also not be accessible to persons with disabilities.

    If you have comments or suggestions, please contact us.