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Health Check Program Guide

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NC Medicaid Health Check Program Guide Revised 1 NC Health Check Early Preventive Screening Program Guide Table of Contents Section I: Health Check Overview ........................................ ........................................ ......................3 Well-Child Preventive Services ........................................ ........................................ ...............3 NC Health Check Preventive Health Services Periodicity Schedule ........................................ ...4 The Bright Futures Recommendations for Preventive Pediatric Health Care Periodicity Schedule 4 NC Periodicity Schedule Quick View ........................................ ........................................ .......5 Section II: Periodic NC Health Check Preventive Services Visit Components ....................................... 11 Comprehensive Health History.

96127/ EP for Emotional/Behavioral screens, including ASQ-SE, PSC/SDQ/PSQ-A/eck’s, RAFFT , Vanderbilt, Conners. When 96160/EP or 96161/EP are billed with CPT code 96127/EP, modifier 59 must be appended to 96160/96161. For beneficiaries > 11 years old AAP recommends following screens (included EP modifier):

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