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Texas Health Steps
Courtney Bindel, LMSWTexas Health Steps Provider Relations
Texas Department of State Health Services817-264-4902 or courtney.bindel@dshs.state.tx.us
What is the THSteps Program?
Preventative portion of Medicaid Federal Name is EPSDT
3 Components of THSteps Medical Dental Case Management
THSteps Medical Checkup
Periodicity Schedule: Newborn, 3-5 Days, 2 weeks 2,4,6,9,12,15,18,24,30 Months Yearly from 3-21 Yrs of Age
Comprehensive and periodic evaluation of: Medical history Current health status Developmental and mental health assessment Nutritional status Vision and Hearing Immunizations and Lab work Anticipatory guidance
THSteps Dental Services
Dental services begin at 6 Months Checkups every 6 months Dental coverage includes:
Preventive Services Treatment Services Emergency Services Orthodontic Services
To Find a THSteps Medical or Dental Provider….
Contact Child’s Health Plan
or
Texas Health Steps Hotline:1-877-THSteps (1-877-847-8377)
* Some Medicaid Doctors may not provide Texas Health Steps
Children and Pregnant Women Case
Management (CPW) Service provided by licensed social
worker or registered nurse To assist Medicaid eligible children and
high-risk pregnant women with medically needed services in their community
Goals-Maximize possibility of healthy births-Reduce or slow the deterioration of health conditions
CPW Eligibility
Medicaid eligible High-risk pregnant woman of any
age Child 0-21 with health condition or
health risk Case Management is required to
maintain health status or prevent deterioration
Requirements for Children
Health condition or health risk Limitation of function, activities or social roles when
compared to healthy same age peers Areas of physical, cognitive, emotional or social growth
and development Examples-
Prematurity Low Birth Weight Birth Defects Developmental Delay Mental Retardation Autism Neurological Disorders (seizures, cerebral palsy) Severe Respiratory Problems (asthma)
Examples of High-Risk Pregnancies
History of premature delivery Multiple births (twins, triplets) Gestational hypertension Gestational diabetes History of substance abuse History of domestic violence Teenage pregnancy
Benefits of Case Management
Helps families Identify and address family problems and access services in their community by
Conducting face to face comprehensive family needs assessmentsDeveloping an individualized family service planPeriodic Follow-up
Referrals may come from anywhere: Physicians Schools Hospitals Agencies Self-referrals
Referrals
Texas Health Steps Hotline
877-THSteps (877-847-8377)
How to Make a Referral
CPW website for a list of providers in your area:
www.dshs.state.tx.us/caseman
How Do You Become a Case Manager?
Program information available online: www.dshs.state.tx.us/caseman/default.shtm
Attend an informational seminar at DSHS to receive application
Contact Courtney Bindel at 817-264-4902
for further information
Medical Transportation Program
Provides free transportation to any Medicaid appointment Bus tokens Cab rides Mileage Reimbursement Airlines
Medical Transportation
Must be Medicaid recipient Must have no other transportation available to
get to appointment Call at least two workdays in advance 1-877-633-8747 1-877-MED-TRIP
Additional Web Information
www.yourtexasbenefits.com (HHSC offices and Program Eligibility)
www.thstepsproducts.com (Free Brochures)
http://txhealthsteps.com (THSteps Training Modules with Free CEUs)
www.chipmedicaid.org (Medicaid/Chip Info and Applications
Your Assistance is Needed
Encourage Texas Health Steps Medical Checkups every year Verify that Medicaid Doctor is also a
Texas Health Steps Provider Encourage Dental Checkups Every 6 Months Referrals to the CPW program for Medical
Case Management
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