Child Health Check-Ups Program (CHCUP) Billing tips

CHCUP (Child Health Check-up) is a Medicaid child health program of early and periodic screening, diagnosis and treatment services for beneficiaries under the age of 21. It used to be called EPSDT. All children of these ages who are SHP members should receive these examinations, including the required focus areas. The program ensures access to necessary health resources and assists parents and guardians in appropriately using those resources.

PCPs receive a list of eligible members at the beginning of each month who have chosen or been assigned to the PCP as of that date. It is the responsibility of the provider to contact members and encourage the member, or legal guardian, to be seen for the CHCUP. Each time a provider performs a CHCUP screening, the provider must submit an encounter form using the appropriate CPT and ICD codes.

The program provides for regular health check-ups that include:

* A comprehensive health and developmental history (including assessment of behavioral health status)
* A comprehensive physical exam
* Nutritional and developmental assessment
* Vision, hearing and dental screenings
* Lab tests, including testing for lead poisoning
* Appropriate immunizations
* Health education/anticipatory guidance
* Diagnosis and treatment
* Referral and follow-up, as needed
* Referral to a dentist begins at 3 years of age or earlier as medically necessary, with

subsequent examinations by a dentist every 6 months, or more frequently as prescribed by a dentist or other authorized provider

Eligible children and young adults should have health check-ups at:

* Birth
* 2 - 4 days for newborns discharged in less than 48 hours after delivery
* By 1 month , 2 months, 4 months, 6 months, and 9 months
* 12 months,15 months, and 18 months
* Once every year for ages 2 – 20 years
* Individuals may also request a Child Health Check-Up at other times if they think their child needs it

7 comments:

Ariful said...

Very important post for child health. I really knows a lot of information from this post. Thanks for the nice post.

Ariful said...

Very important post for child health. I knows a lot of information from this post. Thanks for a very nice post.

sakibece said...

It's a good article,i found here something different and helpful things.It will help me to know more.

Omar Faruque said...

It it an necessary post for all parents.The post is informative too.Hope, I will be benefited from it.

I said...

nice article,, yes it's very important to know more about that program and know it's benefits

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