When parents/guardians
request a preventive health screening, the examination must
be completed within 30 days of the request.
Initial screens
must be offered by providers within 60 days of taking over care
of the child or youth and must be completed within 6 months, unless
refused by the parent or youth.
If
the recipient is under age 2, screening must occur more frequently
and in accordance with the HealthCheck
Periodicity Schedule).
If age-appropriate
HealthCheck screens have not been completed within 6 months of
the child's enrollment, the provider must conduct additional provider
outreach to families and must document outcomes.
If a child
misses a regular periodic screening, the child must be screened
as soon as possible.
All children
must be screened for special health needs and disabilities within
90 days of enrollment. The contents of the exam should not preclude
providers from performing additional tests when determined by
the provider to be medically necessary (e.g.,
medical conditions and/or referrals by Head Start, DC Public Schools,
Early Intervention, or special education programs).
Interperiodic
screens are medical, vision, hearing or other screens that are
provided outside of and in addition to regular screens. These
occur more frequently than scheduled screens due to medical necessity
(e.g., when a child has tested positive
for a condition and the provider determines that there is a medical
need to rescreen for that condition).
Children and
adolescents with chronic health problems
(e.g., HIV, asthma, sickle cell) may need to be seen more
often than the recommendations in the periodicity schedule. The
content, frequency, and scope of services should be based on evidence-based
practice guidelines and protocols, and the clinical judgment of
the provider and/or the specialist caring for the child or adolescent.