Examinations

Provider Type

  • Physicians
  • Participating Physician Groups (PPG)
  • Hospitals
  • Ancillary

A Child Health and Disability Prevention (CHDP) program exam must include:

  • A complete health and development history, including assessment of both physical and mental health development
  • A head-to-toe unclothed physical examination, including assessment of physical growth
  • A vision screening
  • A hearing screening
  • A dental screening, including inspection of mouth, teeth and gums
  • Nutritional assessment and counseling
  • Laboratory tests appropriate to age and sex, including tests for anemia, diabetes and urinary tract infections
  • Tuberculin test
  • Testing for sickle cell trait, when appropriate
  • Lead testing, as indicated
  • Immunizations, if needed
  • Additional tests or exams, if needed
  • Health education and guidance appropriate to the person's age and health status
  • Weight assessment by BMI percentage
  • Counseling for physical activity

The primary care physician (PCP) must provide the member and the member's parent or guardian with a copy of the member's examination results and an explanation of results in terms of needed diagnosis and treatment.

All children with dental problems must be referred directly to a dentist for care. All members ages three and older must be referred annually for preventive dental care to a dentist that accepts Denti-Cal, regardless of whether a dental problem exists. Providers or members may contact Denti-Cal for a list of three Denti-Cal providers within the requester's ZIP code. Providers may also call their affiliated health plan's provider inquiry units for directions on dental referrals and dental networks.