HealthCheck is the child health care benefit package of Medicaid.
As part of HealthCheck, screening services are provided by primary medical providers at regular intervals (periodic screens
) and whenever a problem is suspected.
Screening services include all the following:
- Comprehensive health and developmental history which includes an assessment of both physical and mental health development.
- Comprehensive unclothed physical exam
- Laboratory tests
- Lead Toxicity Screening: All children must receive a screening blood lead test at 12 months and 24 months of age. Children between the ages of 36 months and 72 months of age must receive a screening blood lead test if they have not been previously screened for lead poisoning.
- Vision Screening
- Hearing Screening
- Developmental Screening: Includes developmental screening using a standardized screening tool at 9, 18, and 30 months and an autism-specific screening at 18 and 24 months.
- Oral Health Screening
- Health Education: Health education and counseling to both parents (or guardians) and children is designed to assist in understanding what to expect in terms of the child's development and provide information about the benefits of healthy lifestyles and practices as well as accident and disease prevention.
When a physical or mental health condition is suspected or identified during a HealthCheck screen, diagnostic and treatment services are provided.
- Vision Services: Includes diagnosis and treatment for defects in vision, including eyeglasses.
- Dental Services: Includes relief of pain and infections, restoration of teeth and maintenance of dental health. Although an oral health screening is a part of a well child exam, it does not substitute for referral to and examination by a dentist.
- Hearing Services: Includes diagnosis and treatment for defects in hearing, including hearing aids.
- Other Necessary Health Care: States must provide other necessary health care, diagnosis services, treatment, and other measures described in section 1905(a) of the Social Security Act to correct or improve defects, and physical and mental illnesses and conditions discovered by the screening services.
The HealthCheck Program is responsible for seeking out Medicaid eligible individuals who are not enrolled in a managed care organization and informing them of the benefits of preventive pediatric health care and the health services and assistance available. In addition, HealthCheck is responsible for offering and providing (if requested and necessary) assistance with scheduling appointments for EPSDT care and services.
Recipients of Medicaid may request reimbursement for the cost of transportation associated with receiving medical services. Contact your local DHHR office for eligibility guidelines.