| (a) Clients are entitled to receive a comprehensive
medical check-up for the early detection of health problems and the
referral for definitive diagnosis and treatment when indicated by
the check-up.
(b) Following are the federally-mandated components
of a THSteps comprehensive medical check-up:
(1) comprehensive health and developmental history,
including physical and mental health and development;
(2) comprehensive unclothed physical examination;
(3) immunizations appropriate for age and health history;
(4) laboratory tests appropriate to age and risk, including
lead toxicity screening; and
(5) health education, including anticipatory guidance.
(c) THSteps providers may be required to perform additional
services or screening during a medical check-up, as described in the
TMPPM.
(d) THSteps providers may conduct mental health screenings,
using one or more validated, standardized mental health screening
tools, during each annual medical check-up for clients who are at
least 12 years of age but younger than 19 years of age. THSteps providers
are reimbursed for conducting one such screening annually.
(e) THSteps providers may conduct maternal depression
screenings for a client's mother, regardless of whether the mother
is also a client, that are performed before the client's first birthday
during a client's covered medical check-up. THSteps providers are
reimbursed for conducting one such screening.
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