MENTAL MEASUREMENTS VISION HEARING SURVEILLANCE …

1 COMPREHENSIVE HEALTH SCREENING* BIRTH THROUGH 10 YEARS OF AGE * Comprehensive Health Screening, as indicated below, consists of federal and state components that are required for the checkup to be considered complete. Refer to the Texas Medicaid Provider Procedures Manual (TMPPM) for further detail at Find current Periodicity Schedule online at HistoryNutritional ScreeningDEVELOPMENTAL SURVEILLANCEM ental Health: Psychosocial/ Behavioral Health ScreeningTB Questionnaire with Skin Test if Risk IdentifiedUnclothed Physical ExaminationCritical Congenital Heart Defect ScreeningMEASUREMENTSVISIONHEARINGD ental ReferralScreen/Administer Immunizations According to ACIP GuidelinesLABORATORY TESTSH ealth Education/Anticipatory GuidanceReview of MilestonesASQ, ASQ.

2 SE, or PEDS M-CHAT or M-CHAT-R/F LengthHeightWeightBMIF ronto-Occipital CircumferenceBlood PressureVisual Acuity Subjective VisionNewborn HEARING Test (OAE or ABR)Audiometric Screening Subjective HearingNewborn Screening PanelBlood Lead ScreeningAnemiaDyslipidemiaType 2 DiabetesNewbornD/C to 5 days2 weeksMonths24691215182430 Years345678910 LEGENDM andatoryIf not completed at the required age, must be completed at the first opportunity if age developmental, MENTAL health, VISION , or HEARING screenings: when both colors appear at the same age, perform the most appropriate-level Health Steps Medical Checkup Periodicity Schedule for Infants, Children, and AdolescentsRisk-basedMENTAL HEALTHP ostpartum Depression ScreeningNote: THSteps components may be performed at other ages if medically necessary.

3 Check regularly for updates to this schedule: For free online provider education: July 1, 2018 COMPREHENSIVE HEALTH SCREENING* 11 THROUGH 20 YEARS OF AGE * Comprehensive Health Screening, as indicated below, consists of federal and state components that are required for the checkup to be considered complete. Refer to the Texas Medicaid Provider Procedures Manual (TMPPM) for further detail at Find current Periodicity Schedule online at ScreeningMental Health: Psychosocial/ Behavioral Health ScreeningPSC-17, PSC-35, Y-PSC, PHQ-9, PHQ-A, CRAFFT, or Patient Health Questionnaire for AdolescentsTB Questionnaire with Skin Test if Risk IdentifiedUnclothed Physical ExaminationMEASUREMENTSVISIONHEARINGD ental ReferralScreen/Administer Immunizations According to ACIP GuidelinesLABORATORY TESTSH ealth Education/Anticipatory GuidanceHeightWeightBMIB lood PressureVisual AcuitySubjective VisionAudiometric ScreeningSubjective HearingDyslipidemiaType 2 Diabetes STD/STI ScreeningHIV TestYears1112 13 1415 16 17181920 LEGENDM andatoryIf not completed at the required age.

4 Must be completed at the first opportunity if age developmental, MENTAL health, VISION , or HEARING screenings: when both colors appear at the same age, perform the most appropriate-level Health Steps Medical Checkup Periodicity Schedule for Infants, Children, and AdolescentsRisk-basedMENTAL HEALTHNote: THSteps components may be performed at other ages if medically necessary. Check regularly for updates to this schedule: For free online provider education: July 1, 2018