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Caries Risk Assessment Texas Health Steps requires that a caries risk assessment and documentation of the caries risk assessment to be included in all dental exams. Reimbursement for dental exams will be denied by Medicaid unless a caries risk assessment has properly been conducted, documented, and coded. Health and Human Services offers training with step-by-step guidance about conducting and documenting caries risk assessment for patients ages 6 months through 20 years. Take the First Dental Home training module for children 6 through 35 months old; and, the Assessments, Education, and Prevention in the Dental Home module for children 3 through 20 years. Both trainings provide links to all caries risk assessment forms, and include documentation and billing information. To take the online trainings, visit the Texas Health Steps Online Provider Education website and click on "Courses". In the Course Finder, select"Oral Health" in the topic menu, then click FIND. Click on First Dental Home or Assessments, Education, and Prevention in the Dental Home for more information and enrollment.