HealthCheck Manual Appendices

	I	HealthCheck Medicaid Provider Billing Manual: See the Active Treatment Billing Manual on the DC DOH Billing Manual Page
	II	D.C. Healthy Families Information and Application (Spanish and English)
	III	Health Services for Children with Special Needs Brochure
	IV	Women, Infants and Children Enrollment Sites | Referral Form (WIC)
	V	Commodity Supplemental Food Program: Sites | Referral Form
	VI	HealthCheck Flyer
	VII	DC HealthCheck Program Periodicity Schedule: PDF Version | Word Version
	VIII	Centers for Disease Control and Prevention (CDC) Growth Charts
	IX	District of Columbia School Health Guidelines
	X	What is Early Intervention | Early Intervention Evaluation Referral
	XI	Recommended Childhood and Adolescent Immunization Schedule: Printable schedule | Spanish | Palm
	XII	District of Columbia Immunization, Tuberculosis and Lead Screening
	XIII	Durable Medical Equipment List of Approved Equipment and Supplies
	XIV	Free Confidential HIV Testing Sites in Metro Area; See also DC DOH's HIV/AIDS Services Web page
	XV	Form 416 Annual EPSDT (HealthCheck) Participation: See the CMS Form 416 Individual State Reports, FY 1999
	XVI	Guidelines for the Use of Antiretroviral Agents in Pediatric HIV Infection (from the Guidelines page of aidsinfo.nih.gov )

Appendices are complete for electronic versions of documents only. For information on documents not in electronic format, please contact the Medical Assistance Administration at 825 North Capitol Street, N.E., Washington, DC 20002. (202) 442-5988.