The HealthCheck Program works to equip West Virginia's Medicaid providers with the necessary tools and knowledge to carry out EPSDT services appropriate to the American Academy of Pediatrics' standard for pediatric preventive health care, Bright Futures: Guidelines for Health Supervision of Infants, Children and Adolescents.
This section of the web site includes resources and materials which support these standards and are easily accessible.
Provider Information Updates
HealthCheck Preventive Health Screening Form Page 2- Authorization Request (Medical Providers Only)
HealthCheck Health History and Preventive Health Screening Forms:
Print all HealthCheck Forms
To order HealthCheck Health History and Preventive Health Screening Forms compete the Materials Request Form, print and fax to: 304-558-1524.