Bright Futures at Georgetown University DC Department of Health MAA

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   I. Overview

       • EPSDT Program
       • HealthCheck Program
    Goals & Requirements
    Participants & Providers
    Services
    Coordination & Outreach
       • Review



   II. Health Supervision

       • Introduction
    Screens & Timing
    Requirements
    Review
       • Health History
    Introduction
    Initial
    Interval
    Specific Visits
    Review
       • Physical Examination
    Introduction
    Comprehensive Exam
    Growth Assessment
    Specific Visits
    Review
       • Screening Services
    Introduction
    Nutritional
    Vision
    Speech & Language
    Hearing
    Developmental
    Review
       • Laboratory Tests
    Introduction
    Metabolic
    Sickle Cell
    Lead
    Anemia
    Urinalysis
    Cholesterol
    Tuberculosis
    STDs & Pregnancy
    Review
       • Immunizations
    Introduction
    Immunization Schedule
    Vaccines Program
    Documentation
    Precautions & Exceptions
    Review
       • Health Education/
         Anticipatory Guidance

    Introduction
    Working with Families
    Working with Teens
    Pregnancy Prevention
    HIV Prevention
    Specific Visits
    Review




   III. Special Health Issues

       • Introduction
       • Dental Health
       • HIV Guidelines
       • Child Abuse & Neglect
       • Reducing Language          Barriers
       • Using Interpreters
       • Review



   IV. Documentation

       • Guidelines
       • SMRFs
       • HealthCheck Reporting
       • Billing Procedures
       • Review


At-a-Glance Resources


HealthCheck SMRFs HealthCheck Periodicity HealthCheck Manual HIPAA Codes

 

II. Health Supervision

Introduction: HealthCheck Screens and Time Frames

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

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.

Partial Screens

Partial screens are incomplete screens that occur when the provider is able to perform only part of the screen required by the recipient during the office visit. MAA discourages partial screens because the goal of the program is to provide all needed screening services during a single encounter.

Note:

Providers should record both the interperiodic and partial screens in the child's medical record, with documentation of the reasons for these screens.

 

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