Communications: News

Key Changes for Child and Teen Checkups Effective October 1st

Tuesday, August 8, 2017   (0 Comments)
Posted by: Tara Owens
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The Minnesota Child and Teen Checkups (C&TC) periodicity schedule requirements are updated as of October 1, 2017.

The C&TC schedule changes are based on the updated 2017 version of Bright Futures from the American Academy of Pediatrics, along with changes in US Preventive Services Task Force pediatric recommendations, MN Community Measurement guidelines, and the most recent Minnesota-specific health data for the C&TC-eligible population.

Many clinics are already doing some of these screening changes as a result of health system/clinic priorities. Key changes include:

  • Adding C&TC visits at age 30 months, and annual visits for children and youth between the ages of 6 to 20 years;
  • Requiring fluoride varnish application at every C&TC visit beginning at the eruption of first tooth through age 5 years;
  • Requiring standardized depression or mental health screening annually from ages 12 through 20 years;
  • Requiring a screening HIV test for all youth at least one time between ages 15 through 18 years and risk assessment for HIV testing followed by appropriate action for youth ages 11-14 years and 19-20 year olds (this risk assessment is a part of the previously required sexually transmitted infection (STI) risk assessment);
  • Adding near vision screening (plus lens) beginning at 5 years to the standard visual acuity screening (which starts at 3 years) for children who pass their distance visual acuity screening and do not have corrective lenses;
  • Adding high frequency screening (6000 Hz) for noise-induced hearing loss at 11 years and older to the standard hearing screening (which starts at 3-4 years);
  • Clarifying dyslipidemia risk assessment followed by appropriate action for ages 24 months, 4 years, 6 years and for ages 8 through 20 years;
  • Including social determinants of health in the health history;
  • Continued emphasis on social-emotional, developmental and autism screening recommended for all infants and toddlers.

Additionally, staff from Minnesota Department of Health and Minnesota Department of Human Services are preparing updated clinical guidance C&TC Fact Sheets for primary care providers, and new parent fact resources for implementing these changes.

For DHS communications regarding the Minnesota Child and Teen Checkups (C&TC) schedule of Age-Related Screening Standards and related policy, refer to the Provider News on the DHS website. Providers can also sign up to receive the Provider News by email. 

Current C&TC Periodicity Schedule (DHS-3379)

Updated policy C&TC Section of the MHCP Provider Manual

Resources for implementation of the updated C&TC Periodicity Schedule are now available on the MDH C&TC Website

Fact Sheets for Each Screening Component

Information for Providers - Including clinic resources for family and youth (HIV FAQ and parent confidentiality template, under "Laboratory Tests/Risk Assessment)

Recorded webinar reviewing all updates available on the C & TC Training Website.


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