Child Health Check-Up (formerly EPSDT) - Herman & Associates ...

Child Health Check-UpAudit Tool for All Provider TypesThe following required components must be assessed and documented in the child’s medical record.REQUIRED COMPONENTSComprehensive Health and Developmental Historyconsisting of:Past Medical HistoryDevelopmental HistoryBehavioral Health StatusNutritional AssessmentDevelopmental AssessmentComprehensive Unclothed Physical ExaminationDental ScreeningIncluding dental referral, when requiredLaboratory TestsIncluding blood lead testing, when requiredSensory ScreeningsVision ScreeningIncluding objective vision testing, when requiredHearing ScreeningIncluding objective hearing testing, when requiredAppropriate ImmunizationsHealth Education, Anticipatory GuidanceDiagnosis and TreatmentReferral and Follow-Up, as appropriateDOCUMENTEDNOTDOCUMENTEDIf a component was provided within 90 days before the Child Health Check-Up and the results were documented, the provider doesnot need to repeat the component. An exception should be made if the recipient’s environment or medical condition indicates that thecomponent should be repeated. Or if, based on medical discretion, a component has not been performed within approximately 90 days,but within reasonable time based on the recipient’s age and with documentation of medically appropriate rationale, i.e., 2 year oldparticipates in the Early Intervention program. AHCA-Medicaid 2003