Wellness Checkups

Wellness Checkups

Frequently Asked Questions

Texas Health Steps checkups and Well-child exams, also known as wellness checkups, are the best way to help your child stay healthy as they grow. Medicaid Members get Texas Health Steps checkups from birth through 20 years of age. CHIP Members get well-child exams from birth through 18 years of age.

Based on your child’s age, a wellness checkup may include:

There is no cost to you if you have Medicaid or CHIP.

  • Medicaid or CHIP ID card
  • A list of all medications that your child is taking
  • Current immunization records
  • A list of questions that you want to ask the primary care provider

Get the first checkup within 90 days of enrollment with Community. It helps us understand your healthcare needs early. You can also get to know your child’s doctor, and your child’s doctor can get to know you.

Wellness Checkup Schedule

Get the first checkup within 5 days after being born. After that, get the rest within 60 days after each checkup age below.
2 weeks12 months
2 months15 months
4 months18 months
6 months24 months
9 months30 months
*Children 3 years and older need checkup once a year, on or after each birthday.

Medicaid Members get wellness checkups until they turn 21 years old.
CHIP Members get wellness checkups until they turn 19 years old.

If you are enrolled or going to enroll in a Head Start program, you may need a checkup within 45 days after enrolling. It is a requirement for Head Start. Please check with your Head Start program.

Texas Health Steps Dental Services

Your child should get regular dental checkups to make sure their teeth and gums are healthy. Dental checkups can begin at age six months and should occur every six months after that. You must choose a Main Dentist to provide your Texas Health Step services through your dental plan. If you need assistance locating a dentist, contact your dental plan:

  • DentaQuest: 1.800.516.0165
  • MCNA Dental: 1.800.494.6262

Don’t know who your dental plan is? Call Member Services at 1.888.760.2600 for help.

Transportation Services

CHIP Members: Call Community Member Services for help. Call toll-free at 1.888.760.2600., Monday to Friday, 8:00 a.m. to 5:00 p.m.

STAR Members:
If you and your child can’t get to the doctor or dentist, Medicaid can help you.

  • Children with Medicaid and their parent or guardian can get rides at no cost or gas money to help get to and from the doctor, dentist, hospital or drug store.
  • Some adults with Medicaid can get rides at no cost, too.

How to use your Medicaid ride benefits?
Call at least 48 hours before your appointment (the sooner the better). If you call less than 48 hours before your appointment and it’s not urgent, you might have to reschedule your appointment in order to secure a ride.

Ride Reservations/Cancellations: 1.855.687.4786, Monday to Friday, 8:00 a.m. to 5:00 p.m.

Where’s My Ride (if your ride doesn’t show up): 1.888.513.0706.

When you call, please be ready to provide:

  • Your name, home address, and phone number
  • Medicaid ID number
  • The date of your healthcare appointment
  • The name, address and phone number of the doctor you are going to see
  • The medical reason for your appointment
  • The type of service (doctor, dentist, etc.)
  • If you need to fill a prescription, it must be done at the on-site pharmacy. If that is not available, you will need to use the closest pharmacy along the trip route.

For more information, read the STAR or CHIP Member Handbook.

Why Choose Community?

As a local nonprofit health plan, Community Health Choice gives you plenty of reasons to join our Community. From the benefits and special programs we offer to the way our Member Services team helps you make the most of them, Community is always working life forward for you and your family.

“I always tell people to choose Community Health Choice. I tell them it’s the best health insurance they will ever be with.”

– Chandolyn
Member of Community Health Choice