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DO 11 YEAR OLDS GET SHOTS AT CHECKUP SKIN

DO 11 YEAR OLDS GET SHOTS AT CHECKUP SKIN

A Tuberculin Skin Test is to be administered when the screening tool indicates a risk for possible exposure. The Tuberculosis Questionnaire must be administered annually beginning at 12 months of age.

For nutritional problems, further assessment is indicated. Rapid Assessment of Adolescent Preventive Services (RAAPS)ĭietary practices should be assessed to identify unusual eating habits such as pica, extended use of baby bottle feedings, or eating disorders in older children and adolescents.Patient Health Questionnaire for Adolescents (PHQ-A ).Car, Relax, Alone, Forget, Family, and Trouble Checklist (CRAFFT).Patient Health Questionnaire Modified for Adolescents (PHQ-A ).Pediatric Symptom Checklist for Youth (Y-PSC).Validated, standardized mental health screening tools include: Providers may receive separate reimbursement, in addition to reimbursement for the checkup, when screening using a validated screening tool. Mental health screening is recommended annually for all clients who are 12 through 18 years of age. Validated maternal postpartum depression screening tools include: A provider may receive separate reimbursement only once per infant. Effective July 1, 2018, maternal postpartum depression screening may be completed during an infant's Texas Health Steps checkup prior to the infant's first birthday. Maternal postpartum depression screening is recommended for all infants. Mental health screening is required at each Texas Health Steps checkup and includes behavioral, social, and emotional development. Developmental surveillance is required at all other checkups and includes a review of milestones and mental health including gross and fine motor skills communication skills speech-language development self-help/care skills and social, emotional, and cognitive development. Providers may receive separate reimbursement, in addition to reimbursement for the checkup, when using these tools as part of the checkup at the specified ages.

Modified Checklist for Autism in Toddlers, Revised with Follow-up Questions (M-CHAT-R/F™).

Modified Checklist for Autism in Toddlers (M-CHAT™).

Providers must use one of the following tools:

Survey of Well-being of Young Children (SWYC)Īutism screening must be performed at ages noted on the Texas Health Steps Periodicity Schedule (PDF).

Parents' Evaluation of Developmental Status (PEDS).

Ages and Stages Questionnaire: Social Emotional (ASQ:SE).

Providers must use one of the following validated, standardized tools: Developmental Surveillance or Screeningĭevelopmental surveillance or screening must be performed at each checkup for client's birth through 6 years of age.ĭevelopmental screening must be performed at ages noted on the Texas Health Steps Periodicity Schedule (PDF). An interim history is performed at each checkup. Comprehensive Health and Developmental HistoryĪ comprehensive health and developmental history must include the child's physical, developmental, mental, nutrition and tuberculosis health histories. The Texas Health Steps Medical Checkup Periodicity Schedule for Infants, Children, and Adolescents (birth through 20 years of age) (PDF)) is a guide for Texas Health Steps providers to understanding the age-appropriate requirements for each checkup.įorms and screening tools mentioned below are available on the Texas Health Steps Forms page. For details regarding specific checkup and reimbursement requirements, please review the Texas Medicaid Provider Procedures Manual, Children's Services Handbook. Below is a summary of the federal and state mandated components of a Texas Health Steps medical checkup that must be documented in the medical record as a condition for provider reimbursement by Medicaid.