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Child and Teen Checkups (C&TC)

Minnesota's Early Periodic Screening, Diagnosis, and Treatment (EPSDT) Program

What is C&TC?

The Child and Teen Checkups (C&TC) Program is Minnesota's Early Periodic Screening, Diagnosis, and Treatment (EPSDT) Program. It is a preventative health care program for children under 21 years of age who are enrolled in Medical Assistance or MinnesotaCare.

The Federal Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Program was established in 1967 as a preventive component of the Medicaid Program. EPSDT provides for the coverage of comprehensive and periodic evaluation of health, developmental and nutritional status, in addition to vision, hearing, and dental screening services to all Medicaid enrolled children from birth to 21 years of age. The program's primary goal is to prevent disease and detect treatable conditions early to avoid further serious health problems and more costly health services.

Minnesota's EPSDT program is called the Child and Teen Checkups (C&TC) Program and is the responsibility of the Department of Human Services (DHS). About 375,000 Minnesota children are eligible to receive Child and Teen Checkups through Medical Assistance or Minnesota Care.

The recommended C&TC periodicity schedule is based on a public health model which promotes wellness for a population (Medicaid-eligible children) with the goal of optimal benefit to the individual and community. This public health model sometimes differs from specific clinical approaches which focus mainly on individual clients in the general population.

In addition, the C&TC periodicity schedule has been established for a population of children that are at higher risk than the general pediatric population. According to the C&TC periodicity schedule, screening visits must include: a comprehensive health and developmental history, including assessment of physical and mental health development; a comprehensive unclothed physical examination; assessment of hearing, vision, and dental health; age appropriate immunizations; laboratory tests including blood lead assessment appropriate for age and risk factors; and, health education. These requirements are based on Minnesota State Rules and the Centers for Medicare and Medicaid Services (CMS) requirements for EPSDT.

 

Additional Resouces

Training Information

An online training module is available to learn about developmental and social-emotional screening in Minnesota, especially for providers of Child & Teen Checkups (Early Periodic Screening, Diagnosis, and Treatment [EPSDT]).

The Minnesota Department of Health is offering an easy to use online training module for a wide variety of child-serving providers such as staff in private and public clinics, day care providers, Early Childhood Screening (ECS) and Head Start screeners, home visitors, and others. This information was posted 07/01/08.

Developmental and Social-Emotional Screening Online Training Module

Quality Indicators

Minnesota Quality Indicators for Child Health and Developmental Screening: A Comprehensive Framework to Build and Evaluate Community-Based Screening Systems (Quality Indicators Framework) [PDF: 1.1MB/131 pages]

From the Department of Health

Eye Screening Procedures for C&TC Health Care Professionals (PDF: 67KB/10 pages) (RTF: 51KB/10 pages)

Developmental and Social-Emotional Screening

Recommendations for Audiometers for Children Age 3 and Older

Vision/Hearing Screening Clinic Self-Assessment Child and Teen Checkups Checklist

Puretone Audiometer Hearing Screening Tips For Children Ages 3-21

Vision Screening Tips For Children ages Newborn through 21

From the Department of Human Services

Child and Teen Checkups Providers - Main Page

Your Growing Child Brochures

Periodic Screening Schedule

Schedule of Age-Related Dental Standards

C&TC Documentation Forms for Providers and Clinics

C&TC Screening Checklists for Parents

From the Department of Education

Early Learning Services - Early Childhood Screening Resources

 


Link to Adobe Acrobat Reader To view the PDF files, you will need Adobe Acrobat Reader (free download from Adobe's Web site).

For questions about this page, please contact our Maternal and Child Health Section.

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