1. (a) Clients are entitled to receive a comprehensive medical check-up for the early detection of health problems and the referral for definitive diagnosis and treatment when indicated by the check-up.

2. (b) Following are the federally-mandated components of a THSteps comprehensive medical check-up:

   1. (1) comprehensive health and developmental history, including physical and mental health and development;
   2. (2) comprehensive unclothed physical examination;
   3. (3) immunizations appropriate for age and health history;
   4. (4) laboratory tests appropriate to age and risk, including lead toxicity screening; and
   5. (5) health education, including anticipatory guidance.
3. (c) THSteps providers may be required to perform additional services or screening during a medical check-up, as described in the TMPPM.
4. (d) THSteps providers may conduct mental health screenings, using one or more validated, standardized mental health screening tools, during each annual medical check-up for clients who are at least 12 years of age but younger than 19 years of age. THSteps providers are reimbursed for conducting one such screening annually.
5. (e) THSteps providers may conduct maternal depression screenings for a client's mother, regardless of whether the mother is also a client, that are performed before the client's first birthday during a client's covered medical check-up. THSteps providers are reimbursed for conducting one such screening.

Source Note:The provisions of this §256.60 adopted to be effective February 28, 2008, 33 TexReg 1550; amended to be effective June 25, 2018, 43 TexReg 4207; transferred effective April 30, 2025, as published in the March 28, 2025, issue of the Texas Register, 50 TexReg 2235.