Texas Health Steps Program

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

Medical Periodicity Children from birth through 20 years of age enrolled in Medicaid are due for THSteps medical checkups based on his or her 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 should get checkups every year — ideally on their birthday.

Timely THSteps Checkups
New
Aetna Better Health of Texas Medicaid members should have a checkup within 90 days of enrollment.

Existing Aetna Better Health Medicaid members should have a checkup based on their age range as indicated below.

  • 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 the child’s birthday.  It is 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 our provider manual or the Texas Medicaid Provider Procedures Manual (TMPPM).

Other resources
THSteps Periodicity Schedule

THSteps Quick Reference Guide

Texas Health Steps Regional Provider Representatives

Texas Health Steps Provider Information website from DSHS