Texas Health Steps

Provider Information for Texas Health Steps (Medicaid)

Texas Health Steps Diagnosis and Treatment program (THSteps), formerly known as Early and Periodic Screening, is for children from birth through 20 years of age who have Medicaid. Texas Health Steps provides regular medical and dental checkups and case management services to babies, children, teens and young adults at no cost to members.

Preventative Care & Screening Guidelines Book (PDF)

Medical Periodicity

Children from birth through 20 years of age enrolled in Medicaid are due for THSteps medical checkups based on their date of birth and the ages indicated on the Texas Health Steps periodicity schedule. Children younger than 3 years of age are due at frequent intervals. Children 3 years of age and older get a checkup every year on or near their birthday.

Timely THSteps Checkups

New CHRISTUS Health Plan Medicaid members should have a checkup within 90 days of enrollment. Existing CHRISTUS Health Plan Medicaid members should have a checkup based on their age range as indicated:

  • Existing member checkups for children birth through 35 months of age are considered timely if conducted within 60 days of the periodic due date.
  • Existing members 36 months of age and older should get a checkup on or near the child’s birthday. It’s considered timely if it occurs within 364 calendar days of the child’s birthday.
  • For more information on the Texas Health Steps program, please consult the Texas Medicaid Provider Procedures Manual.


    Texas Health Steps Training

    Texas Health Steps offers FREE continuing education courses designed to enhance preventive health, mental health, oral health and case management services to children who are Medicaid eligible in Texas.

    Learn more and register for online Texas Health Steps training provided by the Department of State Health Services (DSHS). You can also download our Provider Training/Orientation Material for Medicaid.