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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 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Early Preventive Screening Program Guide  \nTable of Contents  \nSection I: Health Check Overview ......................................................................................................3  \nWell-Child Preventive Services ...............................................................................................3  \nNC Health Check Preventive Health Services Periodicity Schedule ...........................................4  \nThe Bright Futures Recommendations for Preventive Pediatric Health Care Periodicity Schedule 4  \nNC Periodicity Schedule Quick View .......................................................................................5  \nSection II: Periodic NC Health Check Preventive Services Visit Components .......................................11  \nComprehensive Health History .............................................................................................11  \nUnclothed Physical Assessment and Measurements .............................................................11  \nNutritional Assessment ........................................................................................................12  \nVision Screenings .................................................................................................................13  \nHearing Screenings...............................................................................................................14  \nDental Screenings ................................................................................................................16  \nNorth Carolina Oral Health Periodicity Schedule ...................................................................18  \nImmunizations .....................................................................................................................22  \nLaboratory Procedures .........................................................................................................22  \nNewborn Metabolic/Sickle Cell Screening..................................................................................... 22  \n[http://www.ncsicklecellprogram.org/resources.asp..................................................................... 23](http://www.ncsicklecellprogram.org/resources.asp..................................................................... 23)  \n[Tuberculin Tests...............................](Tuberculin Tests...............................).............................................................................................. 23  \n[http://www.cdc.gov/std/treatment/default.htm ......................................................................... 25](http://www.cdc.gov/std/treatment/default.htm ......................................................................... 25)  \n[Same Day Health Check Wellness Visits and Sick Child](Same Day Health Check Wellness Visits and Sick Child) ( [E/M](E/M)) Encounters...............................25  \nAnticipatory Guidance and Health Education ........................................................................27  \nFollow-Up and Referral ........................................................................................................27  \nSection III: Blood Lead Testing ..........................................................................................................28  \nGeneral Discussion:..............................................................................................................28  \nUse of Point of Care (POC) Lead Analyzers and Public Health Implications .............................32  \nFederal and State Requirements for Childhood Blood Lead Testing .......................................32  \nPOC Lead Analyzer Laboratory Requirements .......................................................................33  \nStatutory Reporting Requirements for Blood Lead Testing ..........................................","cbCaia3SszzpIM1e","https://ap.wps.com/l/cbCaia3SszzpIM1e","pdf",954896,65,"English","# Health Check Overview\n## Well-Child Preventive Services\n## NC Health Check Preventive Health Services Periodicity Schedule\n# Periodic NC Health Check Preventive Services Visit Components\n## Comprehensive Health History\n## Unclothed Physical Assessment and Measurements\n## Nutritional Assessment\n## Vision Screenings\n## Hearing Screenings\n## Dental Screenings\n## North Carolina Oral Health Periodicity Schedule\n## Immunizations\n## Laboratory Procedures\n# Blood Lead Testing\n## General Discussion\n## Use of Point of Care (POC) Lead Analyzers and Public Health Implications\n## Federal and State Requirements for Childhood Blood Lead Testing\n# Administration of Brief Screening Tools for Developmental, Emotional/Behavioral and Other Health Risks\n## Surveillance\n## General Guidance on Use of Structured Screening Tools\n## Specific Screens\n# Immunizations\n## Coding for Vaccine Administration","[{\"question\":\"What preventive services are included in NC Health Check well-child visits?\",\"answer\":\"The guide outlines comprehensive health history, physical assessment and measurements, nutritional assessment, vision and hearing screenings, dental screenings, immunizations, and relevant laboratory procedures.\"},{\"question\":\"How does the guide address childhood blood lead testing?\",\"answer\":\"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.\"},{\"question\":\"Which developmental and behavioral risk screenings are covered?\",\"answer\":\"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.\"}]","NC Medicaid - Health Check Program Guide - Revised 5.2020 | PDF",164]