HealthCheck Provider Education System

HealthCheck Training

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Overview

Health Supervision

Special Health Issues

Documentation

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Overview

HealthCheck: Goals and Requirements

The District of Columbia's Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit is known as HealthCheck. HealthCheck provides preventive primary health care for all Medicaid-eligible youth living in the District of Columbia.

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HealthCheck Goals

The goal of the DC HealthCheck Program is to assure available, accessible, and appropriate quality health care for all DC Medicaid-eligible children from birth to age 21. Each child is to have a medical home, whether enrolled in an MCO or with a fee-for-service provider. All medically necessary services must be provided for children and teens served through HealthCheck (regardless of whether the services are included in the Medicaid State Plan).

Additional goals are to:

  • Improve knowledge of the external review of DC's Medicaid managed care program.
  • Help satisfy the requirements of the Salazar court mandates.

HealthCheck meets all EPSDT requirements for regularly scheduled pediatric preventive health visits:

  • Health and developmental history
  • Unclothed physical exam
  • Immunizations
  • Lab tests, screenings, and assessments
  • Dental, vision, and hearing services
  • Health education and anticipatory guidance
  • Medically necessary follow-up diagnostic and treatment services

 

Health Care Tailored for DC Youth

HealthCheck is specifically designed to meet the health care needs of the District's urban, ethnically diverse youth. The timing and frequency (periodicity) of these preventive health services is provided at key developmental ages, based on the needs of District youth. HealthCheck, for example, recommends initial lead testing between 9 and 12 months of age, and includes sickle cell screening as part of its universal newborn screening program.

 

Online Training to Enhance Preventive Care

*To support DC health professionals in providing quality care for Medicaid-eligible youth, the DC Department of Health Care Finance initiated development of the HealthCheck Provider Education System. This online system includes a pediatric preventive care curriculum and complementary resources.  The curriculum's core modules, presented in Section II (Health Supervision), are based on three primary sources:

  • HealthCheck Manual, developed for DC providers of EPSDT services
  • HealthCheck Periodicity Schedule, based on the American Academy of Pediatrics'  recommended periodicity
  • Bright Futures guidelines, notably the health and developmental interview questions and anticipatory guidance for each preventive health visit

HealthCheck service requirements are incorporated into the contracts of all MCO providers.

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