Public Health Region 1 Texas Health Steps


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.

Mission Statements

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
Texas Health Steps Program 

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

For THSteps-related questions, contact Josh Derby.


THSteps Providers: 

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:

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.