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. 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?

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
  • Dyslipidemia risk assessment (with lipid screening only if medically indicated, 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, 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.

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.

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 and Health Education

Measurements

Health History

Developmental and Social-Emotional/Mental Health Screening

Tobacco, Alcohol, or Drug Use Risk Assessment

Physical Exam

Immunizations

Newborn Screening

Laboratory Tests/Risk Assessment

Blood Lead

Hemoglobin

Tuberculosis

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

Vision

Hearing

Oral Health

HIPAA C&TC Referral Coding Information

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