Mandatory Passages and Language for MC+ Managed Care Health Plan Handbook, page 6

More Benefits For Children And Women In A MC+ Category Of Assistance For Pregnant Women

A child is anyone less than twenty-one (21) years of age. For some members the age limit may be less than nineteen (19) years of age. Some services need prior approval before getting them. Call your health plan to check.. Women must be in a MC+ category of assistance for pregnant women to get these extra benefits.

Comprehensive day rehabilitation, services to help you recover from a serious head injury
Diabetes education and self management training
Hearing aids and related services
Podiatry, medical services for your feet
Vision — Children get all their vision care from the health plan. Pregnant women get their vision care from the health plan. Pregnant women get their eye glasses in MC+ Fee-For-Service
MC+ has a special program for children to provide medically necessary services. The program is called Early Periodic Screening, Diagnosis and Treatment (EPSDT) or Healthy Children and Youth (HCY). Your Primary Care Provider (PCP) can give your child these EPSDT/HCY services.
Some examples of EPSDT/HCY services include:
- child's medical history
- an unclothed physical exam
- blood and/or urine tests
- shots
- screening and testing lead levels in blood
- checking the growth and progress of the child
- vision, hearing, and dental screens
- dental care and braces for teeth when needed for health reasons
- private duty nurses in the home
- special therapies such as physical, occupational, and speech
- aids to help disabled children talk
- personal care to help take care of a sick or disabled child
- health care management
- psychology/counseling

An EPSDT/HCY Health Screen helps children stay healthy or find problems that may need medical treatment. Your child needs to get regular checkups. Children between 6 months and 6 years old need to get checked for lead poisoning. You may use the chart below to record when your child gets a health screen or lead poison screen.

Health Screen & Lead Poison Assessment Record
Age	Date of Health Screen	Date of Lead Poison Screen
Newborn
By one month
2-3 months
4-5 months
6-8 months
9-11 months
12-14 months		Your child needs a Blood Lead Level at 12 and 24 months
15-17 months
18-23 months
24 months
3 years		Your child needs a Blood Lead Level each year until age 6 if in a high-risk area.
4 years
5 years
6-7 years
8-9 years
10-11 years
12-13 years		A Blood Lead Level is recommended for women of child-bearing age.
14-15 years
16-17 years
18-19 years
20 years

Important tests your child needs are shown on the chart below: Please note these are not all the tests your child may need. Talk with your child's PCP.

Age	Test
Birth	PKU Test
1-2 Weeks	PKU and Thyroid Tests
12 months	TB Test, Blood Count, Blood Lead Level
2 years	Blood Lead Level Test
3 years	Blood Lead Level Test if in a high-risk area.
4 years	Blood Lead Level Test if in a high-risk area.
5 years	Blood Lead Level Test if in a high-risk area.
6 years	Blood Lead Level Test if in a high-risk area.