THSteps Medical Checkup Periodicity Schedule for Infants, Children

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THSteps Medical Checkup Periodicity Schedule for Infants, Children
THSteps Medical Checkup Periodicity Schedule for Infants, Children, and Adolescents
Com pr eh en sive H ea lt h Scr e e ni ng * B i rt h t hr o ug h 1 0 Y e a rs of a ge
Health Education/Anticipatory Guidance
Type 2 Diabetes
Hyperlipidemia
Anemia
Blood Lead Screening
Newborn Screening Panel
Screen/Administer Immunizations
according to ACIP Guidelines
Dental Referral
Laboratory Tests
Subjective Hearing
Audiometric Screening
HEARING
Newborn Hearing Test
(OAE or ABR)
Subjective Vision
Visual Acuity
Blood Pressure
Vision
Fronto-Occipital Circumference
BMI
Weight
Height
Length
Measurements
Unclothed Physical Examination
Mental Health: Psychosocial/
Behavioral Health Screening
M-CHAT
ASQ, ASQ:SE, or PEDS
Review of Milestones
Nutritional Screening
Age
History
Developmental
Surveillance
TB Questionnaire with skin test if risk
identified
*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: www.dshs.state.tx.us/thsteps/providers.shtm.
Years
Months
Newborn
D/C to 5 days
2 weeks
2
4
6
9
12
15
18
24
30
3
4
5
6
7
8
9
10
Legend o f Sy m b ol s
Mandatory at this age.
If a component is not completed at the required age, it is mandatory for the provider to complete at the first opportunity if age-appropriate.
When symbols appear at the same age for developmental, vision, or hearing screening, perform the most appropriate level screen.
Risk-based.
E03-13634 December 1, 2011
Note: THSteps components may be performed at
other ages if medically necessary. Check regularly
for updates to this schedule: www.dshs.state.tx.us/
thsteps/providers_components.shtm. For free
online provider education: www.txhealthsteps.com.
THSteps Medical Checkup Periodicity Schedule for Infants, Children, and Adolescents
COMPREHENSIVE HEALTH S C REENING * 1 1 t hr o ug h 2 0 Y EARS OF AGE
Years
Health Education/Anticipatory Guidance
HIV Test
STD/STI Screening
Type 2 Diabetes
Hyperlipidemia
Anemia
Screen/Administer Immunizations
According to ACIP Guidelines
Laboratory Tests
Dental Referral
Subjective Hearing
HEARING
Audiometric Screening
Subjective Vision
Visual Acuity
Vision
Blood Pressure
BMI
Weight
Height
Measurements
Unclothed Physical Examination
TB Questionnaire with Skin Test if Risk
Identified
Mental Health: Psychosocial/Behavioral
Health Screening
Nutritional Screening
Age
History
*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: www.dshs.state.tx.us/thsteps/providers.shtm.
11
12
13
14
15
16
17
18
19
20
Legend o f Sy m b o l s
Mandatory at this age.
If a component is not completed at the required age, it is mandatory for the provider to complete at the first opportunity if age-appropriate.
When symbols appear at the same age for developmental, vision, or hearing screening, perform the most appropriate level screen.
Risk-based.
Females screened once between 12 and 16 years of age.
E03-13634 December 1, 2011
Note: THSteps components may be performed at
other ages if medically necessary. Check regularly
for updates to this schedule: www.dshs.state.tx.us/
thsteps/providers_components.shtm. For free
online provider education: www.txhealthsteps.com.

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