Online trainings and materials on Medicaid's EPSDT benefit for DC providers, agencies, and families...

This website provides access to trainings and resources for providers in DC who see children covered under Medicaid:

  1. HealthCheck Training This training will fulfill your obligations for all MCOs with which you are paneled.* You will receive 5 CME’s upon completion of the curriculum.**

  2. Fluoride Varnish Training This training will fulfill your obligations to provide and bill for fluoride varnish application in the District.

  3. DC Children's Health, Wellness, and Education Calendar The Health and Well-Being Subcommittee of the State Early Childhood Development Coordinating Council has developed this online calendar of events that includes health/wellness/educational items.

*MedStar Family Choice; AmeriHealthDC; Health Services for Children with Special Needs (HSCSN); CareFirst Community Health Plan of DC; and Fee-For-Service Medicaid Providers.

** Georgetown University Medical Center designates this curriculum for a maximum of 5 hours in category 1 credits towards the AMA Physician’s Recognition Award. CME credits will be paid for by the MCOs when you are due for HealthCheck training. Providers must be trained once every 2 years.

What's New with HealthCheck

Key Updates

COVID-19 News and Resources

  • COVID-19 Vaccines Now Available for Children 6 months and Older and Moderna Vaccine Available for Children and Adolescents 6-17 Years Old

    DC Health announces that COVID-19 vaccines for children 6 months to 4 years old are now available along with the Moderna vaccine for children and adolescents 6-17 years old.

    The pediatric vaccine (for children 6 months to 4 years old) is available as either a 3-dose Pfizer or 2-dose Moderna vaccine. The two doses of the Moderna vaccine are administered four weeks apart, while the first two doses of the Pfizer vaccine are administered three weeks apart with the third dose given eight weeks after the second dose. For example, if your child is 6 months to 4 years old and is vaccinated with the Moderna vaccine on June 30, they will receive their second and final dose on July 28. If your child is given the Pfizer vaccine on June 30, they will receive their second dose on July 21 and their third and final dose on September 15. 

    The Moderna vaccine for children and adolescents 6-17 years old is a 2-dose vaccine administered four weeks apart. For example, someone receiving this vaccine on June 30 will receive their second and final dose on July 28.

    Both pediatric vaccines and the Moderna vaccines for 6-17 are available at District COVID Centers, health clinics, and doctors’ offices. These vaccines are also available at select pharmacies, with the pediatric vaccines available only for children three and up.

    For more information, please visit coronavirus.dc.gov.  

  • Statement from HHS Secretary Xavier Becerra on COVID-19 Vaccines for 5-11 Year Olds. Following the Centers for Disease Control and Prevention’s (CDC) recommendation to make 5-11 year old children eligible for COVID-19 vaccines after the Food and Drug Administration’s (FDA)’s authorization, HHS Secretary Xavier Becerra issued a statement on the landmark moment to increase children’s protection during this pandemic.
  • CDC Recommends Pediatric COVID-19 Vaccine for Children 5 to 11 Years: Media Statement. CDC Director Rochelle P. Walensky, M.D., M.P.H., endorsed the CDC Advisory Committee on Immunization Practices’ (ACIP) recommendation that children 5 to 11 years old be vaccinated against COVID-19 with the Pfizer-BioNTech pediatric vaccine. CDC now expands vaccine recommendations to about 28 million children in the United States in this age group and allows providers to begin vaccinating them as soon as possible. 
  • AAP Statement on Pediatric COVID-19 Vaccine. The American Academy of Pediatrics (AAP) has issued recommendations related to coronavirus disease 2019 (COVID-19) vaccine in children and adolescents:
  • Vaccination Information: Pediatric Community Facilities and Immunization Policy. See this page for important resources related to vaccines during COVID-19: Pediatric immunization locations, the immunization policy for in-person attendance, and information on how to schedule an appointment at school-based health centers.
  • Please share with your families: AAP's response to "Is it OK to call my pediatrician during COVID-19?"
  • DC Health recommends clinical practices focus on increasing access to care and conducting family engagement during the COVID-19 pandemic. Read their letter on Pediatric Preventive Care and School Health.
  • DC's COVID-19 Web Portal. Information to share with patients on how to protect themselves, what to do if they experience symptoms, testing appointments, unemployment benefits, and COVID-19 resources in multiple languages.
  • Guidance for MCOs on Outreach Messaging for Well-Child Visits During DC Public Health Emergency. Summary of guidance from the American Academy of Pediatrics.
  • Guidance on Strong Start/Early Intervention Service Delivery Through Telemedicine During DC Public Health Emergency. A series of Q&As developed for OSSE’s Strong Start/Early Intervention Program services.
  • DC's COVID-19 Newsroom. Find the latest news, clinical announcements, and resources for patients here.
  • Health Center Resource Clearinghouse COVID-19 Portal. Access COVID-19 resources developed for community health centers.
  • Overview of EPSDT: Navigating Medicaid's Pediatric Benefit During COVID-19. Presentation by the Health/Wellness Subcommittee, SECDCC.
  • Coronavirus 2019 (COVID-19): Interim Guidance for Outpatient Pediatric Providers in the District of Columbia. This guidance outlines DC Health recommendations for pediatric providers regarding continued pediatric care amidst widespread community transmission of COVID-19.

Mental Health News

Oral Health News

  • The Connecting Kids to Coverage National Campaign wants to remind families that with Medicaid and the Children’s Health Insurance Program (CHIP) coverage, children and teens up to age 19 can receive the necessary dental care, including regular check-ups, x-rays, fluoride treatments, dental sealants, and fillings, to keep them healthy and smiling. The Campaign offers a variety of resources:
    - Twitter and Facebook graphics are available in English and Spanish to share on social media.
    - Tip sheet with advice on sharing dental health education materials.
    - Find a Dentist tool to locate a dentist in their area that accepts Medicaid and CHIP.
  • Materials specifically for expectant mothers, toddlers, and children with special needs on their Oral Health Initiative page.
  • Note on Billing for Fluoride Varnish. DC Medicaid primary care providers who have completed fluoride varnish training can bill the Fee-for-Service (FFS) Medicaid program and the Medicaid Managed Care Organizations (MCOs) for fluoride varnish application on a child under 3 (three) years of age.  Currently, DC Medicaid primary care providers who are enrolled and trained by DC HealthCheck can bill FFS and the MCOs for the application of fluoride varnish using CDT code D1206 or CPT code 99188. When this policy was implemented in 2014, CDT code D1206 was the only procedure code for fluoride varnish application and since then CPT 99188 code was added to the fee schedule. 
    1.
    Effective March 1, 2018, DC Medicaid (FFS and the MCOs) will no longer reimburse primary care providers for fluoride varnish claims submitted using the CDT code D1206. Only fluoride varnish claims submitted by primary care providers using the CPT code 99188 will be processed and paid.
    2. All fluoride varnish claims received by primary care providers for visits that occurred before March 1, 2018 will be processed. However, any varnish claims received by primary care providers for a date service after March 1, 2018, will only be paid if the claim for fluoride varnish application is coded using the CPT code 99188.
  • ADA State Fact Sheets on Geographic Access to Dental Care. The American Dental Association (ADA) Health Policy Institute published one-page infographic for each state, including the District of Columbia, highlighting access to dental care for Medicaid beneficiaries. The District’s fact sheet highlights that 100% of publicly insured children live in areas where there is at least one Medicaid dentist per 2,000 publicly insured children within a 15-minute travel time. Click here to learn more.

More news...

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