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CHDP PROGRAM
WELL CHILD EXAMS THROUGH THE
CHDP PROGRAM OVERVIEW
Child Health and Disability Prevention
(CHDP) Program
Provides no-cost well-child exams
Purpose: Prevent or identify health problems
through periodic well-child exams
CHDP PROGRAM OVERVIEW
Federal entitlement program established in 1965
Administered by the California Department of
Health Care Services
Operated by local health departments
Day-to-day operations
Provider Relations
Outreach
Health Promotion
Care Coordination
CHDP SERVICES
~2,000,000 children receive CHDP Program
services statewide every year
San Diego:
180,000 screens per year in San Diego County
170 CHDP Provider sites
Solo Physicians
Medical Groups
Community Clinics
9 Laboratory CHDP Providers
ELIGIBILITY
Medi-Cal eligible children
Under 21 years of age
Fee-for-service (FFS) Medi-Cal or belong to Medi-Cal Managed Care Plan
Income eligible children
Under 19 years of age
<200% Federal Income Guidelines (FIG)
No health care coverage for well-child exams
Must reside in California
CHDP GATEWAY
Process to enroll uninsured children into comprehensive health care services (Medi-Cal or Healthy Families)
Pre-enrolled into full-scope, FFS Medi-Cal at the time of the CHDP visit for up to 2 months
Parent/legal guardian can request Medi-Cal/Healthy Families application
Automatic enrollment of eligible infants under one year of age into Medi-Cal
CHDP GATEWAY
Eligibility Criteria
Children and Youth under 19 years of age
Family income is at or below 200% of FIG
Must reside in the state of California
Includes children and youths eligible for
Limited scope Medi-Cal
Medi-Cal with Share of Cost
Infants under one year of age are automatically enrolled into Medi-Cal if mother had Medi-Cal at the time of delivery
PRE-VISIT
NEWBORN PRE-VISIT
CHDP GATEWAY APPLICATION
CHDP GATEWAY RESPONSE
POST-VISIT
CHDP SCREENING REQUIREMENTS
Components of a CHDP exam:
Health history
Physical examination
Sensory screening
Measurements
Procedures/tests
Immunizations
Anticipatory guidance/health education
CHDP SCREENING REQUIREMENTS
Periodicity Schedule
Health exams are based on the following schedule:
1, 2, 4, 6, 9, 12, 15, 18 months
2, 3, and 4-5 years
6-8, 9-12, 13-16, and 17-20 years
CHDP SCREENING REQUIREMENTS
PERIODICITY TABLE
MNIHA
Medically Necessary Interperiodic Health Assessment (MNIHA)
Out-of-Periodicity exams
Physical done outside the periodicity schedule
Sports or camp physical exams
Foster care or out-of-home placements
Partial screens
Need to perform required screening component that wasn’t completed during the initial physical exam
Immunizations
Screening procedure re-check
Need to re-check screening component due to questionable results
Vision/hearing
EXCLUDED SERVICES
Sick care
Diagnostic and treatment services
CHDP Treatment Reimbursement (TR) Program
California Children’s Services (CCS)
San Diego Regional Center
Medi-Cal
RESOURCES
For more information, visit the CHDP State website at: http://www.dhcs.ca.gov/services/chdp/Pages/default.aspx
Families can call San Diego County CHDP - 1-800-675-2229
Access services
Referral to CHDP provider
Assist with Medi-Cal/Healthy Families application
Contact local CHDP Program Administration - 619-692-8808
San Diego County CHDP website - www.chdpsd.org