General SRC #22, Attachment 2: CHCUP Leave Behind

General SRC #22, Attachment 1: CHCUP Leave-Behind

Magellan Complete Care Child Health Check-Up Program (CHCUP)

Child Health Check-Up is Florida’s name for the federal program known as the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. The CHCUP benefit provides comprehensive and preventive health care services for children under age 21 who are enrolled in Medicaid. MCC promotes appropriate preventive, dental, mental health, developmental, and specialty services for its child and adolescent members in order for them to have healthy lives.

Components of the Child Health Check-Up include: Comprehensive health and developmental history Appropriate Immunizations Lab tests including blood lead

testing as appropriate Comprehensive unclothed physical exam

Developmental and Autism screening

Health education and anticipatory guidance

Nutritional assessment Vision screens and services Diagnosis and treatment if necessary

Dental screens and services Hearing screens and services Referral and follow-up, as appropriate

Purpose • Provide comprehensive, preventive, well child care on a regularly scheduled basis • Identify and correct medical conditions before the conditions become serious and disabling • Provide an entry into the health care system and access to a medical home

Provider responsibilities

Providers Advance registered nurse practitioners (ARNPs) Medical physicians Health Maintenance Organizations (HMOs) Osteopathic physicians Licensed Midwives* Physician assistants Facilities

Birthing centers* County Health Departments Rural health clinics

School Districts

Children’s Medical Services clinics Federally qualified health centers Hospitals (outpatient only)

*Limited to newborn evaluation only.

General SRC #22, Attachment 1: CHCUP Leave-Behind

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CHCUP Periodicity Chart

*for detailed immunization information: http://www.cdc.gov/vaccines/schedules/downloads/child/0-18yrs-schedule.pdf

For more information, please contact the MCC customer service line at 1-800-327-8613

or visit us at our website at MCCofFL.com

Age New- born

1 mo

2 mo

4 mo

6 mo

9 mo

12 mo

15 mo

18 mo

24 mo

30 mo

3 yr

4 yr

5 yr

6 yr

7 yr

8 yr

9 yr

10 yr

11 yr

12 yr

13 yr

14 yr

15 yr

16 yr

17 yr

18 yr

19 yr

20 yr

History X X X X X X X X X X X X X X X X X X X X X X X X X X X X Measurements Length/Height & Weight X X X X X X X X X X X X X X X X X X X X X X X X X X X X X Head Circumference X X X X X X X X X X Weight for length X X X X X X X X X Blood Pressure X X X X X X X X X X X X X X X X X X Sensory Screening Vision X X X X X X X X X Hearing X X X X X X X X X Developmental/ Behavioral Assessment

Developmental Screening X X X X X X X X X X X X X X X X X X X X X X X X X X X X Psychosocial/ Behavioral Assessment

X X X X X X X X X X X X X X X X X X X X X X X X X X X X X

Alcohol & Drug Use Risk Assessment

X X X X X X X X X X

Depression Screening X X X X X X X X X X Physical Examination X X X X X X X X X X X X X X X X X X X X X X X X X X X X X Procedures Immunizations* X X X X X X X X X X X X X X X X X X X X X X X X X X X X X Hematocrit or Hemoglobin X X X Lead Screening X X

Dyslipidemia Screening X

(btwn 9-11)

X (btwn

18-10)

Health Education (incl Anticipatory Guidance)

X X X X X X X X X X X X X X X X X X X X X X X X X X X X X

Oral Health Screening (dental referral required after age 3)

X X X X X X X X X X X X X X X X X X X X X X

General SRC #22, Attachment 1: CHCUP Leave-Behind

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