Education and Reference

The DEA allows and encourages the use of electronic prescribing of controlled substances (EPCS) as a modern technology to reduce medication errors and fraud by maintaining a closed system of controls on controlled substances. Despite its availability since 2010, and an over-all increase in electronic prescribing, very few Texas clinicians have adopted its use for controlled substances. While 85% of Texas pharmacies have technology in place to process EPCS, only 2.5% of Texas prescribers are EPCS enabled. This leaves Texas behind the 4.1% national average for prescriber readiness. Being that schedule II-V prescriptions account for 12% of all drug claims, Texas Medicaid supports the use of EPCS and the associated education of prescribers on EPCS utility.

To help prescribers get started in the practice setting, see the HHSC endorsed material:

View Medicaid (STAR) and CHIP Provider Manual

Medicaid (STAR) and CHIP Provider Manual (effective December 1, 2015)

  • Submit Texas Health Steps Claims on CMS-1500
  • Include Benefit code "EP1" in field 11
  • Diagnosis code "Z00121 and Z00129"
  • No rendering National Provider Identifier required for Texas Health Steps
  • No requirement to bill Other Insurance Coverage for Texas Health Steps
  • 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

Texas Health Steps Educational Information

Locate DSHS Child Health Record Forms for Medicaid (STAR) members PDF Document

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.