Information for providers
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. The C&TC Periodicity Schedule has similar screening components and periodicity, with a few minor variations. C&TC requirements and recommendations are focused on children who are at higher risk related to lower income.
How do Child and Teen Checkups requirements compare to Bright Futures well child care guidelines?
Kids eligible for Medicaid are at higher risk
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.
The C&TC Schedule of Age-Related Screening Standards, 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 required components must be completed in order to bill for the enhanced C&TC bundled rate. 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.
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.
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 providing C&TC health services to MHCP recipients
- Verifying providers' licensure
- Maintaining provider agreements and other legal arrangements
C&TC Screening Components and Preventive Services
Listed below are resources for each screening component, in the order they are listed on the C&TC Periodicity Schedule. Links to other resources on the MDH website are also included.
- Anticipatory Guidance C&TC Fact Sheets for birth to 5, 6-12, and 13-20 years
- Physical Growth and Measurements C&TC Fact Sheet
- Health History C&TC Fact Sheet, including social determinants of health
- C&TC Fact Sheets for each of the screening list recommended standardized screening instruments, documentation, and referral sources:
- Developmental Screening
- Social-Emotional Screening (birth-5 years)
- Autism-Specific Screening
- Mental Health Screening (6-20 years)
- Maternal Depression Screening
- NEW (10/2017): List of recommended Developmental and Mental Health Screening Instruments for C&TC Visits (all ages) in Minnesota (PDF)
- Birth to 5 years: Developmental and social-emotional screening of young children (0-5 years of age) in Minnesota website
- Six to 20 years: Children's mental health screening
- Maternal depression Screening: Clinical information on postpartum depression screening at the infant well visit: Perinatal Mental Health - Information for Health Professionals
- Tobacco, Alcohol, or Drug Use Risk Assessment C&TC Fact Sheet
- Physical Exam C&TC Fact Sheet
- Hemoglobin/Hematocrit C&TC Fact Sheet
- Tuberculosis Screening C&TC Fact Sheet
- MDH Tuberculosis Risk Assessment (PDF)
- MDH Tuberculosis Information for Health Care Professionals website
- Targeted TB Testing and Treatment of Latent TB Infection (LTBI) website
Sexually Transmitted Infections and HIV
- C&TC Fact Sheets:
- Sexually Transmitted Infection (STI) Risk Assessment
- Human Immunodeficiency Virus (HIV) Screening
- Templates for clinical implementation of confidential care, STI risk assessment, and universal HIV screening (15-18 years)
- Clinic letter to youth/family on confidential care: Modify this letter to communicate your clinic's practices around confidential care.
- HIV FAQ for youth: Modify the first paragraph to accurately reflect your clinic's practice for implementation of universal HIV screening. Include some or all of the evidence-based, bulleted list items to share information with youth and families about reasons HIV screening is being offered.
- MDH Sexually Transmitted Diseases (STDs) website
- Dyslipidemia Risk Assessment C&TC Fact Sheet
- C&TC Fact Sheets:
- Oral Health and Fluoride varnish (for primary care providers)
- Dental Checkups (for dental professionals)
- Fluoride varnish in the Child and Teen Checkups (C&TC) setting
- Healthy Teeth, Healthy Baby