Information for providers - Child and Teen Checkups Program

Information for providers

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How are Child and Teen Checkups (C&TC) different from "regular" well child checkups?

Child and Teen Checkups and well-child care have the same goal of early identification and treatment of common childhood problems before they become bigger ones. In the United States, the American Academy of Pediatrics Bright Futures Schedule guides preventive health care for the general pediatric population. They have similar screening components and periodicity, with a few minor variations. Child and Teen Checkups requirements and recommendations are focused on children who are at higher risk due to lower income.

How do Child and Teen Checkups requirements compare to Bright Futures well child care guidelines?

How are Child and Teen Checkups different from well child care?
SAME! DIFFERENT!
  • Same goals: early identification and treatment
  • Similar screening components and schedule
Kids eligible for Medicaid are at higher risk
  • Lead required at 12 months & 2 years
  • Hemoglobin for menstruating females
  • Addition of social-emotional screening for young children
  • Lipid profile as medically indicated, but not required

Child and Teen Checkups are based on the recommendations of the American Academy of Pediatrics (AAP) and the United States Preventative Services Task Force (USPSTF). They are modified according to federal requirements of the EPSDT program, state legislation, and the unique needs and epidemiology of Minnesota's C&TC-eligible population.

Periodicity schedules

C&TC Periodicity Schedule

The C&TC Schedule of Age-Related Screening Standards - updated 3/2016, also known as the Periodicity Schedule, is a summary of the C&TC screening components by age. Required and recommended components are listed for every visit. The hyperlink in the upper left hand corner of the chart (C&TC Screening Components by Age) links to the C&TC FACT Sheets, which have information on C&TC requirements for each screening component, qualified staff to perform the component, documentation requirements, recommended screening tools/instruments, and other resources.

Dental Periodicity schedule

The Schedule of Age-Related Dental Standards, also known as the Dental Periodicity Schedule, is a summary of the C&TC screening components required for Dentists. It follows the recommendations of the American Academy of Pediatric Dentists, and recommends that children begin dental visits when the first tooth erupts or no later than 12 months of age.


C&TC Policy and Coding

Refer to the Minnesota Department of Human Services (DHS) Minnesota Health Care Programs (MHCP) provider manual, C&TC section for information about C&TC program requirements, billing and coding, and other provider information.

Scroll down for more information on MHCP provider enrollment.

C&TC Screening Components

Listed below are resources for each screening component. Links to other resources on the MDH website are also included.

Anticipatory Guidance and Health Education

Physical Growth and Measurements

Health History

Developmental and Social-Emotional/Mental Health Screening

Physical Exam

Immunizations

Newborn Screening

Laboratory Tests

Vision

Hearing

Oral Health

HIPAA C&TC Referral Coding Information

  • All C&TC claim lines must list the appropriate HIPAA compliant referral code to be recognized as a C&TC claim and paid with the MHCP C&TC payment methodology

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MHCP Enrolled Providers

Minnesota Health Care Programs (MHCP) Provider Enrollment responds to provider and biller needs for DHS by:

  • Enrolling health care providers so they can receive payment for serving MHCP recipients
  • Verifying providers' licensure
  • Maintaining provider agreements and other legal arrangements