NC Medicaid - Health Check Program Guide - Revised 5.2020

Sep 15, 2026

NC Health Check Early Preventive Screening Program Guide defines preventive health services for well-child visits and periodic screening across age groups. It details visit components including comprehensive health history, physical assessment and measurements, nutrition assessment, vision and hearing screenings, dental screening, oral health periodicity, immunizations, laboratory procedures, and newborn metabolic/sickle cell screening. It also specifies blood lead testing workflows and statutory reporting, plus brief structured screening tools for developmental, emotional/behavioral and other health risks, including specific screens and guidance for follow-up and referral.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages65

Reading Time2 h 44 min

AccessFree to download

Health Check Overview

Well-Child Preventive Services

NC Health Check Preventive Health Services Periodicity Schedule

Periodic NC Health Check Preventive Services Visit Components

Comprehensive Health History

Unclothed Physical Assessment and Measurements

Nutritional Assessment

Vision Screenings

Hearing Screenings

Dental Screenings

North Carolina Oral Health Periodicity Schedule

Immunizations

Laboratory Procedures

Blood Lead Testing

General Discussion

Use of Point of Care (POC) Lead Analyzers and Public Health Implications

Federal and State Requirements for Childhood Blood Lead Testing

Administration of Brief Screening Tools for Developmental, Emotional/Behavioral and Other Health Risks

Surveillance

General Guidance on Use of Structured Screening Tools

Specific Screens

Immunizations

Coding for Vaccine Administration

| | NC Medicaid
Health Check Program Guide
Revised 5.2020 | | --- | --- | NC Health Check Early Preventive Screening Program Guide Table of Contents Section I: Health Check Overview ......................................................................................................3 Well-Child Preventive Services ...............................................................................................3 NC Health Check Preventive Health Services Periodicity Schedule ...........................................4 The Bright Futures Recommendations for Preventive Pediatric Health Care Periodicity Schedule 4 NC Periodicity Schedule Quick View .......................................................................................5 Section II: Periodic NC Health Check Preventive Services Visit Components .......................................11 Comprehensive Health History .............................................................................................11 Unclothed Physical Assessment and Measurements .............................................................11 Nutritional Assessment ........................................................................................................12 Vision Screenings .................................................................................................................13 Hearing Screenings...............................................................................................................14 Dental Screenings ................................................................................................................16 North Carolina Oral Health Periodicity Schedule ...................................................................18 Immunizations .....................................................................................................................22 Laboratory Procedures .........................................................................................................22 Newborn Metabolic/Sickle Cell Screening..................................................................................... 22 [http://www.ncsicklecellprogram.org/resources.asp..................................................................... 23](http://www.ncsicklecellprogram.org/resources.asp..................................................................... 23) [Tuberculin Tests...............................](Tuberculin Tests...............................).............................................................................................. 23 [http://www.cdc.gov/std/treatment/default.htm ......................................................................... 25](http://www.cdc.gov/std/treatment/default.htm ......................................................................... 25) [Same Day Health Check Wellness Visits and Sick Child](Same Day Health Check Wellness Visits and Sick Child) ( [E/M](E/M)) Encounters...............................25 Anticipatory Guidance and Health Education ........................................................................27 Follow-Up and Referral ........................................................................................................27 Section III: Blood Lead Testing ..........................................................................................................28 General Discussion:..............................................................................................................28 Use of Point of Care (POC) Lead Analyzers and Public Health Implications .............................32 Federal and State Requirements for Childhood Blood Lead Testing .......................................32 POC Lead Analyzer Laboratory Requirements .......................................................................33 Statutory Reporting Requirements for Blood Lead Testing ..........................................

FAQs

What preventive services are included in NC Health Check well-child visits?

The guide outlines comprehensive health history, physical assessment and measurements, nutritional assessment, vision and hearing screenings, dental screenings, immunizations, and relevant laboratory procedures.

How does the guide address childhood blood lead testing?

It explains point-of-care lead analyzer use and public health implications, federal and state requirements, lab and reporting requirements, diagnostic testing after a positive screen, and provider billing considerations.

Which developmental and behavioral risk screenings are covered?

The guide provides guidance on structured screening tools, including screens for maternal postpartum depression, “Healthy Development” and required autism screening, spectrum disorders, emotional/behavioral health risks, and adolescent health risks.

Sep 15, 2026

Upload by Stanford