California Code of Regulations › Title 17 - Public Health › Division 1 - State Department of Health Services › Chapter 4 - Preventive Medical Service › Subchapter 13 - Child Health and Disability Prevention Program › Article 4 - Required Services › Section 6847 - Periodicity of Health Assessments

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
					 Eligibility. Medi-Cal beneficiaries who have received an initial health assessment
					 are also eligible for subsequent, periodic health assessments.
(b) Notifying and Offering Assistance. Persons
					 eligible for periodic assessments shall be notified before each assessment is due of
					 their entitlement to the assessment, and of the availability of assistance with
					 transportation and scheduling appointments. The informing may be in writing. The
					 response to this offer shall be recorded, and this assistance shall be provided if
					 requested by the beneficiary.
(c)
					 Frequency. Persons eligible for periodic health assessments shall receive one
					 assessment during each age period listed below. The first age at which the next
					 health assessment is due is the age of the person at the previous assessment plus
					 the interval indicated in the parenthesis after that age period in the table shown
					 in this subsection. However, a periodic assessment may be done at any time from the
					 beginning to the end of each age period. Persons will be considered overdue for an
					 assessment on the first day he or she enters a new age period without assessment
					 having been performed in the previous age period.
For example, a child receiving an assessment at two and
						one-half years of age is first due for the next assessment at three and one-half
						years of age (the age at the time of previous assessment, two and one-half plus the
						time interval between assessments for that age group, one year). The assessment is
						overdue when the child is four years old. There is no time interval in the 17-20 age
						period because no additional assessments will be given after that assessment.
						Initial and periodic assessments, and the initiation of any needed treatment, shall
						normally be completed within 120 days from either the last day the person is
						eligible for assessment in any age period or the day the person is notified that the
						next assessment is due, whichever occurs first.
The following table is a guide for the minimum frequency at
						which health assessments shall be provided to persons eligible for periodic
						assessments:
Under 1 month old..........................
(1
								month)
1 through 2 months
								old..........................
(2 months)
3 through 4 months
								old..........................
(2 months)
5 through 6 months
								old..........................
(2 months)
7 through 9 months
								old..........................
(3 months)
10 through 12 months
								old..........................
(3 months)
13 through 17 months
								old..........................
(5 months)
18 through 23 months
								old..........................
(6 months)
2 years old..........................
(1
								year)
3 years old..........................
(1
								year)
4 through 5 years
								old..........................
(2 years)
6 through 8 years
								old..........................
(3 years)
9 through 12 years
								old..........................
(4 years)
13 through 16 years
								old..........................
(4 years)
17 through 20 years old
(d)
					 Additional Health Assessments. The frequency indicated in this section is considered
					 a minimum for preventive health care. More frequent health assessments will be
					 reimbursed when the additional assessment is deemed appropriate by the health
					 assessment provider. Circumstances which may indicate the need for more frequent
					 assessments include the following:
(1) The parents
					 have or the person has a particular need for education and guidance.
(2) There is the presence or possibility of
					 perinatal disorders (such as low birth weight, low Apgar scores at birth, prolonged
					 labor).
(3) The person is or will be
					 exposed to a potentially stressful environment--for example, camp or contact
					 sports--before the next periodic health assessment indicated by the periodicity
					 schedule is due.