Health screenings and interventions (continued)
SERVICE
GROUP AGE, FREQUENCY
Contraception counseling/education (including fertility awareness-based methods); contraceptive products and services 1,3, 4
Women with reproductive capacity
Depression screening/Maternal depression screening
Ages 12–21; all adults, including pregnant and postpartum women
Developmental screening
9, 18, 30 months
Developmental surveillance
Newborn, 1, 2, 4, 6, 12, 15, 24 months. At each visit ages 3 to 21
Discussion about potential benefits/risk of breast cancer preventive medication 1
Women at risk
Dental caries prevention Evaluate water source for sufficient fluoride; if deficient prescribe oral fluoride 1 Application of fluoride varnish to primary teeth at time of eruption (in primary care setting)
Children older than 6 months Children to age 6 years
Domestic and interpersonal violence screening
All women (adolescent/adult)
Fall prevention in older adults (physical therapy)
Community-dwelling adults ages 65 and older with risk factors
Folic acid supplementation 1
Women planning or capable of pregnancy
Genetic counseling/evaluation and BRCA1/BRCA2 testing
Women at risk • Genetic counseling must be provided by an independent board-certified genetic specialist prior to BRCA1/BRCA2 genetic testing • BRCA1/BRCA2 testing requires precertification
Gestational diabetes screening
Pregnant women
Gonorrhea screening
Sexually active women age 24 years and younger and older women at risk
Hearing screening (not complete hearing examination)
All newborns by 2 months. Ages 4, 5, 6, 8, 10. Adolescents once between ages 11–14, 15–17 and 18–21 Ages 6 and older - to promote improvement in weight status; Overweight or obese adults with risk factors for cardiovascular disease
Healthy diet and physical activity counseling
Hemoglobin or hematocrit
12 months
Hepatitis B screening
Pregnant women; adolescents and adults at risk
Hepatitis C screening
Adults at risk; one-time screening for adults born between 1945 and 1965
High blood pressure screening (outside clinical setting) 2
Adults ages 18 and older without known high blood pressure
HIV screening and counseling
Pregnant women; adolescents and adults 15 to 65 years; younger adolescents and older adults at risk; sexually active women (adolescent/adult), annually
Iron supplementation 1
6–12 months for children at risk
Lead screening
12, 24 months
Lung cancer screening (low-dose computed tomography)
Adults ages 55 to 80 with 30 pack/year smoking history, and currently smoke, or have quit within the past 15 years. Computed tomography requires precertification.
Metabolic/hemoglobinopathies (according to state law)
Newborns
Obesity screening/counseling
Ages 6 and older, all adults
Oral health evaluation/assess for dental referral
6, 9 months. Ages 12 months, 18 months-6 years for children at risk
Osteoporosis screening
Age 65 or older (or under age 65 for women with fracture risk as determined by a Clinical Risk Assessment Tool). Computed tomographic bone density study requires precertification
PKU screening
Newborns
Ocular (eye) medication to prevent blindness
Newborns
= Men
= Women
= Children/adolescents
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