Texas Health Steps Courtney Bindel, LMSW Texas Health Steps Provider Relations Texas Department of State Health Services or

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: THSteps ( ) * 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 assessments Developing an individualized family service plan Periodic Follow-up

Referrals may come from anywhere: Physicians Schools Hospitals Agencies Self-referrals Referrals

Texas Health Steps Hotline 877-THSteps ( ) How to Make a Referral CPW website for a list of providers in your area:

How Do You Become a Case Manager? Program information available online: Attend an informational seminar at DSHS to receive application Contact Courtney Bindel at 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 MED-TRIP

Additional Web Information (HHSC offices and Program Eligibility) (Free Brochures) (THSteps Training Modules with Free CEUs) (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