What Is a Texas Health Steps provider?
Texas Health Steps is Medicaid’s medical and dental preventive child health service for individuals younger than 21 years old in Texas. All children in DFPS conservatorship are eligible for this service including medical and dental care.
Where can medical providers obtain a list of Texas Health Steps dentists?
You can obtain a list of Medicaid-enrolled dentists in your area by calling 877-847-8377 or by logging on to the Texas Medicaid and Healthcare Partnership (TMHP) provider search webpage to locate Texas Health Steps dental providers in a specific geographic area. This list is updated monthly.
What is Epsdt Texas?
The Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) service is Medicaid’s comprehensive preventive child health service (medical, dental, and case management) for individuals from birth through 20 years of age. EPSDT was created in 1967 through federal law.
What is the recommended tool to document that you have completed all required components of a Texas Health Steps medical check up?
In support of successful checkup documentation and to assist in documenting each of the components and elements of the checkups, the THSteps program recommends use of the THSteps Child Health Record Forms, which are available for download on the THSteps provider information webpage.
Does Medicaid cover wellness visits?
Medicaid members less than 21 years old are now covered for an annual wellness visit once every calendar year. Previously, child wellness visits were only covered once every 12 months.
Does Medicaid cover root canals in Texas?
For children under 21 in Texas, Medicaid pays for comprehensive dental services including cleanings, fillings, sealants, root canals and even dentures. Medicaid provides no coverage for preventive, diagnostic or restorative dental services for adults.
Does Medicaid cover wisdom teeth removal for adults?
If they are deemed to be medically necessary, Medicaid will cover tooth extractions. A tooth extraction visit will consist of a $3.00 copay at the time of the visit. Does Medicaid cover wisdom teeth extractions? Medicaid will cover wisdom teeth removal in younger patients with a dentist recommendation.
What are the risk based laboratory tests on the periodicity schedule?
The Periodicity Schedule includes the following laboratory tests:
- Newborn Hereditary/Metabolic Testing.
- Anemia.
- Blood Lead Screening.
- Hemoglobin Type.
- Screening for sexually transmitted diseases (RPR, Gonorrhea, Chlamydia)
- HIV Screening (human immunodeficiency virus)
- Cervical Cancer Screening (Pap Smear)
Which of the following is an allowable reason for an exception to periodicity checkup?
They are allowed when: Medically necessary. For example, a patient with developmental delay, suspected abuse, or other medical concerns or a patient in a high-risk environment. Required to meet state or federal requirements for Head Start, child care, foster care, or pre-adoption.
What is EPSDT on a claim?
The Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit provides comprehensive and preventive health care services for children under age 21 who are enrolled in Medicaid. Treatment: Control, correct or reduce health problems found.
Who is eligible for the EPSDT program?
All children under age 21 enrolled in Medicaid through the categorically needy pathway are entitled to the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit, which requires states to provide access to any Medicaid-coverable service in any amount that is medically necessary, regardless of whether …
Who are the team members at Texas Health steps?
Other team members include front office staff and clinical staff. All Texas Health Steps medical and dental checkups and other services require documentation within the client’s medical record to support the service provided.
How to check your Texas Health steps status?
Texas Health Steps Clinical Record Review Tool (PDF) provides a printable paper copy of the clinical record review tool. Instructions for paper copy use are included in the Excel workbook. Contact your Texas Health Steps regional provider relations representative (PDF) for help and support with documenting Texas Health Steps checkups.
What are Texas Health steps documentation improvement letter?
The Texas Health Steps Documentation Improvement Provider Letter (PDF) describes the importance of documenting each component and sub-component of a Texas Health Steps Checkup. Texas Health Steps Clinical Record Review Tool with Instructions (Excel) assists in self-audits in preparation for health plan quality reviews.
Where can I See my Texas Childrens health plan provider?
See an online provider now through Texas Children’s Anywhere Care with a smartphone, tablet, or computer. The online visits are a covered benefit for Texas Children’s Health Plan members. CHIP Members: Don’t lose your coverage! Did The Texas Health and Human Services Commission (HHSC) send you a packet of information to renew your plan?