DC HealthCheck Resources
General Pediatric Resources
National Medicaid/ EPSDT Resources
Screening Guidelines, Tools, and Recommendations
The following resources on pediatric preventive screening are presented alphabetically by topic:
Developmental and Behavioral
Growth Assessment and Measurement
See Vision and Hearing, below
Sexually Transmitted Diseases (STDs)
Vision and Hearing
Two to three out of every 1,000 children are born with hearing impairments, and many more children develop hearing problems after birth. Hearing impairments can lead to other problems, including interference with normal language development in young children. They can also delay a child’s social, emotional, and academic development. Additionally, about a quarter of all school-aged children have a significant vision problem. Common childhood eye conditions include nearsightedness, lazy eye, and misalignment of the eyes. Vision problems can be evidence of serious, degenerative conditions, and can also lead to delays in learning and social development.
Hearing and vision screenings are a required part of every well-child visit so that primary care providers can assist in identifying children with hearing and vision problems and refer them to the appropriate specialists for further evaluation and treatment. Hearing and vision screenings are covered by DC Medicaid under the EPSDT benefit. For more information on how often hearing and vision screenings should be administered, check out the DC Health Check periodicity schedule.
Bright Futures offers clinical guidance on how to administer hearing screenings during well-child visits based on the age of a child. The American Academy of Pediatrics publication, Eye Examination in Infants, Children, and Young Adults by Pediatricians, also provides clinical guidance on how to administer vision screenings during a well-child visit. The NHeLP issue brief, Vision Services for Children on Medicaid, provides an in-depth overview of vision service Medicaid coverage under EPSDT.
Referring Families to Specialists
When a child fails a hearing and/or vision screening, primary care providers should refer them to the appropriate specialist for further evaluation and treatment. Treatment services for both vision and hearing services are covered by Medicaid under EPSDT. For more information on Medicaid covered services for children and adolescents, check out the DC HealthCheck brochure. To help families find a specialist that is accepting DC Medicaid, please call the appropriate number below: