Child and Teen Checkups (C&TC) Early and Periodic Screening Diagnosis and Treatment (EPSDT) Program

Child and Teen Checkups (C&TC) is the name for Minnesota’s Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Program. C&TC is a comprehensive child health program provided to children and teens from newborn through the age of 20 who are enrolled in Medical Assistance (MA) or MinnesotaCare.

The purpose of this document, “C&TC Screening Component Standards and Guidelines for Provider Documentation,” is to identify the required standards for C&TC components and the personnel qualified to perform them and to offer guidelines to assist providers with C&TC documentation.

The documentation guidelines can be used to review current clinic forms to determine if the forms contain the required documentation for a complete C&TC. Clinics can use this information to revise their forms as necessary. The set of age-related C&TC Documentation Forms (DHS-4813B-R) http://www.dhs.state.mn.us/id_028848, can serve as examples.

The C&TC Documentation Forms were created by a C&TC DocumentationTemplate Workgroup consisting of the Minnesota Departments of Health (MDH) and Human Services (DHS), physicians, coding/billing representatives, clinic quality improvement staff and representatives from health plans and public health. These C&TC Documentation Forms are available to clinics and providers as a resource. Providers use of the C&TC Documentation Forms is encouraged but not mandatory.

The main role of the C&TC Documentation Forms is to identify all required components and provide ease of chart documentation. Additional documentation will be found in other chart areas such as the complete immunization record, lab reports and growth grids. The C&TC Documentation Forms can provide links to these other documentation areas.

Clinic staff who are evaluating or developing their own forms should review specific details about C&TC requirements contained under “C&TC Screening Component Standards and Guidelines” (http://edocs.dhs.state.mn.us/lfserver/Legacy/DHS-4813A-ENG). All these documents can be found in the C&TC Provider Guide DHS-4212: C&TC Provider Guide (http://edocs.dhs.state.mn.us/lfserver/legacy/DHS-4212-ENG). If incorporating billing information into the form, be sure to review CPT Code definitions. It is the clinic’s responsibility to ensure that their documentation forms and process follow the CPT and coding and billing documentation guidelines.

Clinic documentation forms for C&TC can be age-specific or “one size fits all.” However, the C&TC Documentation Template Workgroup strongly recommends that age-specific forms be used. For documentation samples, please refer to the C&TC Documentation Forms. created by the workgroup.

If a clinic uses dictation rather than a documentation form, the dictation must address all C&TC components. The C&TC Periodicity Schedule (Schedule of Age-Related Screening Standards) http://edocs.dhs.state.mn.us/lfserver/Legacy/DHS-3379-ENG or a recommended C&TC Documention Form could be used to prompt dictation.

C&TC Screening Component Standards and Guidelines for Provider Documentation (PDF: 433KB/15 pages)