Child Health Check-Up (formerly EPSDT) - Herman & Associates ...
Child Health Check-Up (formerly EPSDT) - Herman & Associates ...
Child Health Check-Up (formerly EPSDT) - Herman & Associates ...
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<strong>Child</strong> <strong>Health</strong> <strong>Check</strong>-<strong>Up</strong> Coverage and Limitations HandbookNutritional AssessmentDescriptionThe nutritional assessment consists of documenting the child’s nutritionalstatus to determine if it is in the normal range for age and health history.RequiredThe provider must assess the child’s nutritional status and document thefindings in the child’s medical record.RecommendedBased on the provider’s medical discretion, the following elements, asappropriate for the child’s age and health history, should be documented:• Height and weight (measure and plot on a standard chart)*;• Head circumference, if the recipient is 24 months or younger (measure andplot on a standard chart);• Dietary intake;• Eating habits;• Use of alcohol, drugs, and tobacco; and• Women, Infants and <strong>Child</strong>ren (WIC) participation or referral.* Note: See the CDC website at www.cdc.gov/growthcharts/; AAP website atwww.aap.org; and Bright Futures website at www.brightfutures.org forinformation on new growth charts to calculate and plot weight, height, and BodyMass Index (BMI) using age and gender-appropriate graphs; as well as,information on weight problems, such as obesity.WIC ServicesFor more information on WIC services and referrals, contact the Bureau of WICand Nutrition Services, Department of <strong>Health</strong>, at (850) 245-4202 or 800-342-3556or contact the nutritionist at your local WIC office at the county healthdepartment.Recipients WhoNeed FurtherAssessmentIf the nutritional assessment suggests nutritional problems, the provider, basedon medical discretion, may either provide or refer the child for:• Assessment of family, socioeconomic, and community factors;• Assessment of the quality and quantity of child’s diet (e.g., dietary intake,food acceptance, meal patterns, methods of food preparation andpreservation, and utilization of food assistance programs);• Physical and laboratory examinations; and• Preventive, treatment and follow-up services, including dietary counselingand nutritional education.RequiredFrequencyThe provider must assess and document the child’s nutritional status at each<strong>Child</strong> <strong>Health</strong> <strong>Check</strong>-<strong>Up</strong>.October 2003 2-7