Pennsylvania Code
Title 55 - HUMAN SERVICES
Part III - MEDICAL ASSISTANCE MANUAL
Chapter 1241 - EARLY AND PERIODIC SCREENING, DIAGNOSIS AND TREATMENT PROGRAM
ADMINISTRATIVE SANCTIONS
Appendix A - SCREENING SERVICES REQUIRED EXAMINATIONS AND DIAGNOSTIC TESTS

The screening of an eligible MA recipient shall include the following examinations, evaluations and appropriate diagnostic tests as specified per age group.

(1)Individuals-Birth Through 18 Months

(i) Taking a health history from the parent or guardian.

(ii) Unclothed physical examination.

(iii) Developmental Appraisal-Denver or equivalent.

(iv) Growth Measurements.

(v) Metabolic Screening-PKU when appropriate.

(vi) Anemia Screening-Hemoglobin and/or Hematocrit when appropriate.

(vii) Lead Poisoning Evaluation when appropriate.

(viii) Sickle Cell Anemia Evaluation when appropriate.

(ix) Tuberculosis Testing when appropriate.

(x) Assessing and updating appropriate immunizations.

(2)Individuals-19 Months Through Age 20

(i) Taking of a health history from the parent.

(ii) Unclothed physical examination, including Tanner Score and blood pressure.

(iii) Developmental Appraisal.

(iv) Vision Test.

(v) Hearing Test.

(vi) Dental Examination.

(vii) Urine Screen for bacteria, sugar, albumin.

(viii) Malnutrition Evaluation.

(ix) Tuberculosis Testing when appropriate.

(x) Iron Anemia-Hemoglobin and Hematocrit when appropriate.

(xi) Lead Poisoning Evaluation when appropriate.

(xii) Sickle Cell Anemia Evaluation when appropriate.

(xiii) Assessing and updating appropriate immunizations when required.