Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0037 - Medicaid
Chapter 6 - HEALTH CHECK (FORMERLY EPSDT) PROGRAM
Section 6-9 - Periodicity schedule
Current through September 21, 2024
(a) Frequency of HEALTH CHECKs. Recipients under age twenty-one should be screened pursuant to the Recommendations for Preventive Pediatric Health Care, which is incorporated by this reference. It is prepared and published by the American Academy of Pediatrics, and is available from the Academy.
(b) Dental examinations. Recipients under age twenty-one should be referred by a HEALTH CHECK provider to a dentist for an initial examination at approximately age three, assuming the recipient is able to cooperate during the examination. Thereafter, subsequent dental examinations are recommended every six months, or as frequently as recommended by a dentist or other appropriate provider.
(c) Hearing screens. All neonates should be screened before departing the hospital. HEALTH CHECK providers should perform pure tone testing at ages 4-10, 12 and 18 years. Subjective testing, by history, is recommended through 3 years, ages 11, 13-17 and 20+.
(d) Vision screens. Recipients under age twenty-one should be referred by a HEALTH CHECK provider for a vision examination by an eyecare practitioner at approximately age three, assuming the recipient is able to cooperate during the examination. Thereafter, subsequent vision examinations are recommended every twelve months, or as frequently as recommended by an eyecare practitioner.
(e) Interperiodic HEALTH CHECKs. HEALTH CHECKs, vision hearing and dental examinations may be provided whenever medically necessary to evaluate a suspected physical, developmental or mental problem. An interperiodic HEALTH CHECK must meet the standards of a regular HEALTH CHECK.
(f) School and sports physical. A HEALTH CHECK provider requested to do a school or sports physical should first determine when the most recent periodic HEALTH CHECK was completed.
