County of Ventura
CHILD HEALTH AND DISABILITY PREVENTION PROGRAM
CHDP ELIGIBILITY ASSESSMENT SCHEDULE
MEDI-CAL CLIENTS: Birth thru 20 Yrs / Non-MEDI-CAL CLIENTS: Birth thru 18 Yrs
EXAM(CHILD’S AGE) / HEALTH ASSESSMENT PROCEDURES / NEXT
EXAM DUE
Under 1 Mo / Examination: UNCLOTHED, includes History, Physical, Dental (assessment of gums and mouth), Nutrition, Anticipatory Guidance, Development, Tobacco Exposure, Psycho-social, TB Risk and Lead Assessment, Height, Weight, Head Circumference and Immunizations / 1 Mo
1-2 Mo / Examination, as above / 2 Mo
3-4 Mo / Examination, as above / 2 Mo
5-6 Mo / Examination, as above / 2 Mo
7-9 Mo / Examination, as above, Hgb/Hct, if client considered high risk / 3 Mo
10-12 Mo / Examination, Hgb/Hct,(12 months -Initial Lead Test,Dental Assessment/Referral to Dental Home.) / 3 Mo
13-15 Mo / Examination, as above, Lead Test if needed, Hgb/Hct Dental Assessment/Referral. / 3 Mo
16-23 Mo / Examination, as above, Lead Test if needed, Dental assessment/Referral. / 6 Mo
2 Yrs / Examination, (Head Circumference Not Needed After Age 2),TB Risk Assessment,RepeatLead Test, Hgb/Hct,calculategraph Body Mass Index (BMI) Percentile, Dental Assessment/Referral. / 1 Yr
3 Yrs / Examination, Blood Pressure, TB Risk Assessment, Lead Test if never had one at 2 yrs or later, Mental Health Assessment, Hgb/Hct, BMI Percentile, Vision, Hearing, Dental Assessment/Referral. / 1 Yr
4-5 Yrs / Examination, BP, TB Risk Assessment, Lead Test if never had one at 2 yrs or later, Mental Health Assessment, Hgb/Hct, BMI Percentile, (Glucose, Cholesterol, Urine if needed), Vision, Hearing, Dental Assessment/Referral. / 2 Yr
6-8 Yrs / Examination, BP, Mental Health, TB Risk Assessment, Hgb/Hct, BMI Percentile, (Glucose, Cholesterol, Urine, if needed),Vision, Hearing, Dental Assessment/Referral. / 3 Yr
9-12 Yrs / Examination, BP, Mental Health, TB Risk Assessment, Hgb/Hct, BMI Percentile, (Glucose, Cholesterol, Urine, if needed), Vision, Hearing, Dental Assessment/Referral. / 4 Yr
13-16 Yrs / Examination, BP, Mental Health, TB Risk Assessment, if needed, Hgb/Hct, BMI Percentile, (Glucose, Cholesterol, Urine, if needed), Vision, Hearing, Dental Assessment/Referral, Pelvic/PAP, Sexually Transmitted Disease Testing If Sexually Active. / 4 Yr
17-18 Yr-
Non-MC
17-20 Yr-MC / Examination, BP, Mental Health Assessment, TB Risk Assessment, Hgb/Hct, BMI Percentile, (Glucose, Cholesterol, Urine, if needed), Vision, Hearing, Dental Assessment/Referral, Pelvic/PAP, Sexually Transmitted Diseasetesting If Sexually Active. / 4 Yr
Medically Necessary Interperiodic Health Assessments (MNIHA):
- Foster children needan exam within 30 days ofinitial placement and every year due to being at high risk for health problems.
- Other children can have annual exams if needed for a Camp or Sports Physical.
- An exam can be billed for an Extended Visit if the child has not been seen for 2 Yrs or there are extensive educational needs of the client or parent/guardian.
Note: An explanation must be included on the PM 160, for ALL of the above reasons.
- Routine lead testing is to be done at 12 months and 2 Yrs of age. A blood lead test should also be done if the child has not been tested between the ages of 2 and 6 years of age.(Adapted from the CHDP Health Assessment Guidelines, 3 Feb 97). An Interperiodic exam can be done for a child with an elevated Blood Lead Level at the time of the first repeat lead test for the purpose of education/anticipatory guidance.
11/07/18