Texas Health Steps

Billing Information

  • Submit Texas Health Steps Claims on CMS-1500
  • Include Benefit code "EP1" in field 11 on the CMS-1500 form and in SBR Loop 2000B, SBR03 for electronic submission. Do not include any other characters in this field as this will cause the claim to deny.
  • Diagnosis code "Z00121 and Z00129"
  • No rendering National Provider Identifier required for Texas Health Steps
  • Submission of Other Insurance (OI) coverage is not required for Texas Health Steps preventive care
  • THSteps and CHIP Preventive visits may be performed on the same day as Acute Care services. However, services must be billed on separate claim forms
  • Introduction to Screening, Brief Intervention and Referral to Treatment Learn more about third-party links
  • Integrating Postpartum Depression Screening into Routine Infant Medical Checkups Learn more about third-party links
  • See all new CE Credit opportunities and other CBT for Texas Health Steps at www.txhealthsteps.com Learn more about third-party links

Checkup Documentation and Resources

Texas Health Steps Educational Information

Locate DSHS Child Health Record Forms for Medicaid (STAR) members Learn more about third-party links

For BCBSTX CHIP members, use the Blue Cross and Blue Shield of Texas preventive care forms. These forms are located under the Medicaid (STAR) and CHIP Clinical Practice Tools Tab.