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Texas Health Steps Periodicity and Checkup Elements

The Early and Periodic Screening, Diagnostic and Treatment Services (EPSDT) program, known in Texas as Texas Health Steps, is one of the most comprehensive medical and dental screening, prevention and treatment programs for children of low-income families.

Texas Health Steps provides payment for comprehensive and periodic evaluations of a child's health, development and nutritional status, as well as vision, dental and hearing services for STAR recipients from birth to age 20. The periodic medical evaluations are based on American Academy of Pediatrics (AAP) recommendations for preventive health care with modifications to meet federal or state regulations. BCBSTX provides medical screening visits for children in the STAR program from birth to 20 years of age and the CHIP program from birth through 18 years of age, following federally mandated Texas Health Steps program guidelines.


For STAR patients:

Use the state of Texas clinical record forms

For CHIP patients:

Use Blue Cross and Blue Shield of Texas preventive care forms.

Chart – Under One Month Chart – 2 Years
Chart – 1 to 2 Months Chart – 3 Years
Chart – 3 to 4 Months Chart – 4 to 5 Years
Chart – 5 to 6 Months Chart – 6 to 8 Years
Chart – 7 to 9 Months Chart – 9 to 12 Years
Chart – 10 to 11 Months Chart – 13 to 16 Years
Chart – 12 to 15 Months Chart – 17 to 20 Years
Chart – 16 to 23 Months  

State Resources

  • Texas Department of State Health Services' Immunization Home Page
  • IMMTRAK (Texas Immunization Registry)

Helpful Links

For more information on Blue Cross and Blue Shield of Texas provider resources for Early and Periodic Screening, Diagnostic and Treatment Services (EPSDT) services and the state of Texas's STAR and CHIP programs, please call 1-888-292-4487.