Skip Ribbon Commands
Skip to main content
Navigate Up
Sign In

HealthyKids : table_contents

 Home 



 

Title Page: Mission, Vision and Goal  

 

Table of Contents   - Updated 07/2010

Section 1:  Introduction  Updated 2010                                                                            

A. Overview
B. Healthy Kids Program Administration
C. Provider Certification and Qualifications
D. Local Health Department Role
E. Medicaid Managed Care Organizations
F. Healthy Kids Program Performance Improvement Standards
G. HIPAA Privacy

 

     Addendum  - Updated 2010

red arrow Provider Certification Requirements Application udated 2012 
red arrow Provider Certification Letter 
red arrow Provider Action Grid for MCO Newborn Coordinators 
red arrow HIPAA Letter by Maryland Attorney General's Office  

Top of Page

Section 2:   Marlyand Preventive Health Care OverviewUpdated 2012

 Maryland EPSDT Healthy Kids Preventive Health Schedule .pdf New- effective 1/1/2013

A. Initial Screening Services
B. Periodic Screening Services
C. Additional Screening Services
D. Hearing, Vision and Dental Screening Services
E. Required EPSDT Components of Maryland Healthy Kids Program

Top of Page

Section 3:  Healthy Kids/ EPSDT Screening Components updated 2012

A. Health and Developmental History
B. Comprehensive Physical Examinations
C. Laboratory Tests
D. Immunizations
E. Health Education /Anticipatory Guidance
     Tables and Charts:   - Updated 01/09
red arrow Table 1 - 3 Pocket Guide to BP Measurement in Children   - New 2008
  • Blood Pressure Levels for Girls
  • Blood Pressure Levels for Boys
red arrow Table 4 - Guidelines for Objective Vision Screening  
red arrow Table 5 - Dietary Fluoride Supplementation Schedule 
red arrow Table 6- Tooth Eruption Charts, Primary and Permanent  
red arrow Table 7 - MD Newborn Metabolic Screen Disorders 
red arrow Table 8 - Hematocrit and Hemoglobin Values for Children 
red arrow Table 9a & 9b - MD Blood Lead Follow-up for Children   - Updated 2008
red arrow Table 10 - Classification of Cholesterol Levels in Children and Adolescents 
red arrow Table 11 - Follow-up of Average LDL - Cholesterol Determinations  
red arrow Table 12 - Targeted Testing and Treatment of Latent TB Infection (Children) 
red arrow Table 13 - Tuberculin Skin Test Cut - Points by Age for Low Risk Persons 
red arrow Table 14 - Regimens for Treatment of Latent TB Infection 

     Addendum 

  red arrow WIC Referral Form - Updated 2010
red arrow Maryland Newborn Hearing Screen Guide
  red arrow Developmental Screening Tools - New 2008
  red arrow

Additional Evaluation/Intervention for Developmental Disorders - New 2008 

red arrow Expert Committee Recommendations on the Assessment, Prevention and Treatment of Child and Adolescent Overweight and Obesity - 2007 - An Implementation Guide from the Childhood Obesity Action Network   - New 2010
red arrow Web Sites  - Updated 2008

Top of Page

Section 4:  Adolescent Preventive Health   - Updated 2010

A. Introduction
B. Health and Developmental History
C. Comprehensive Physical Examination
D. Laboratory Tests
E. Immunizations
F. Health Education and Anticipatory Guidance

     Addendum

red arrow Bright Futures Adolescent Health Update - New 2010 
red arrow Identify and Treat Adolescent Depression  - New 2010 
red arrow Teen Screen Brochure PSC-Y - English  - New 2010 
red arrow Teen Screen Modified - Depression  - New 2010 
red arrow Informed Consent and Agreement to HIV Testing 
red arrow Expert Committee Recommendations on the Assessment, Prevention and Treatment of Child and Adolescent Overweight and Obesity - 2007   - Updated 2010
red arrow Web Sites  - Updated 2008

Top of Page

Section 5:  Other Child Health Services   - Updated 2010 

A. Expanded EPSDT-Related Services
B. HealthChoice Self-Referred Services
C. Children in State-Supervised Care
D. Other Programs for Children with Special Needs
E. Dental Care
F. Specialty Mental Health System

     Addendum  - Updated 2010

red arrow Maryland Uniform Consultant Referral Form 
red arrow School-Based Health Center Health Visit Report Form     - New 2010
red arrow MD Infants and Toddlers Referral and Feedback Form   - New 2008
red arrow REM Referal Form    - Updated December 2012

Top of Page

Section 6:  Billing and Encounter Data Reporting  - Updated 2010

A. Introduction
B. Verifying Eligibility
C. Billing for Fluoride Varnish application as Part of the EPSDT Preventive Care Visit
D. Billing for Services to Children in MCOs
E. Billing Medical Assistance for Services to Children Not in an MCO

 

Section 7:  Appendices

          Appendix I:  Preventive Care Forms
red arrow Medical and Family History Form (English) 
red arrow Medical and Family History Form (Spanish)   
red arrow Age-Specific Encounter Forms  - Updated 2012
red arrow CDC Growth Charts (2000)
red arrow Body Mass Index (BMI) Calculator – Child & Teen  
red arrow Objective Hearing and Vision Form

Top of Page

          Appendix II:  Risk Assessments Forms 

red arrow Preventive Screen Questionnaire:  TB, Lead, Cholesterol and STD/HIV (English) updated 2012
red arrow Preventive Screen Questionnaire: Tb, Lead, Cholesterol and STD/HIV (Spanish)  
red arrow Mental Health Questionnaire: Age 3-5 (English)     Updated 2010
red arrow Mental Health Questionnaire: Age 3-5 (Spanish)     Updated 2010
red arrow Mental Health Questionnaire: Age 6-9 (English)     Updated 2010
red arrow Mental Health Questionnaire: Age 6-9 (Spanish)     Updated 2010
red arrow Mental Health Questionnaire: Age 10-12 (English)   Updated 2010
red arrow Mental Health Questionnaire: Age 10-12 (Spanish)     Updated 2010
red arrow Mental Health Questionnaire:  Age 13-20 (English)     Updated 2010
red arrow Mental Health Questionnaire:  Age 13-20 (Spanish)     Updated 2010
red arrow Edinburgh Postnatal Depression Scale (EPDS)  - New 2008
red arrow CRAFFT Adolescent Substance Abuse Assessment (English)  
red arrow CRAFFT Adolescent Substance Abuse Assessment (Spanish)  
red arrow SEEK Parent Questionnaire (Abuse Assessment)  
red arrow Nutrition Questionnaires (Infant, Child, Adolescent)   - Updated 2008

Top of Page

          Appendix III:  Immunization Forms and

          Resources   - Updated 2008

red arrow Recommended Childhood and Adult Immunization Schedules  - Updated 2008
red arrow Vaccine Administration Record  - Updated 2008
red arrow VFC Eligibility Screening Record  - Updated 2008
red arrow Maryland Immunization Certificate  - Updated 2008
red arrow Vaccine Storage Temperature Log   - Updated 2008
red arrow VFC Vaccine Inventory Form  - Updated 2008
red arrow VFC Vaccine Return Form  - Updated 2008
red arrow Parental Delegation Form for Minors

Top of Page

       Appendix IV:  Health Education Materials

red arrow Food Guide Pyramid
red arrow General Child Seat Use and MD Child Safety Seat Law 
red arrow National Safe Kids Campaign Materials (Fire, Poison, Home)
red arrow  Communicable Disease Fact Sheet
 Order Forms For Educational Materials
° Medical Assistance Outreach Materials Order Form  - Updated 2010
° Center for Immunizations
° Lead Prevention
° Order Form for WIC Outreach Materials  
° Chronic Disease Prevention Materials
° CDC Tuberculosis Elimination Materials
° AIDS Administration - HIV Prevention

Top of Page

Section 8:  Telephone Directories  - New 2008

red arrow Healthy Kids Program Consultants   - Updated 2013
red arrow Medicaid Administration and Billing Contacts
red arrow HealthChoice Managed Care Organization Resource List  - Updated 2008
red arrow Substance Abuse MCO Referral Information  - Updated 2008
red arrow MCO Pharmacy Services and Contacts  - Updated 2010
red arrow Maryland VFC Program Consultants  
red arrow

Rare and Expensive Case Management (REM)   - Updated 2008

red arrow Local Infants and Toddlers Program   - Updated 2008
red arrow Child Find Program
red arrow Local Health Department Programs   - Updated 2008
red arrow Transportation Contacts
red arrow Maryland WIC Agencies  - Updated 2008
red arrow Domestic Violence Programs
red arrow MD and Local DHR Local Child Protective Services
red arrow Head Start Centers of MD

Top of Page