Examinations

Preventive, well-child screening exams must include:

• A complete health and development history, including mental health development (risk assessment)
• A head-to-toe unclothed physical examination, including assessment of physical growth
• A vision screening
• A hearing screening
• Identify dental health, screening of fluoride supplementation and applied varnish, as appropriate
• Nutritional assessment and counseling
• Laboratory tests appropriate to age and sex, including tests for anemia, diabetes and urinary tract infections
• Tuberculosis screening/testing, as indicated
• Testing for sickle cell trait, when appropriate
• Lead screening/testing, as appropriate
• Immunizations, if needed
• Additional tests or exams, if needed
• Health education and anticipatory guidance appropriate to the person's age and health status
• Weight assessment by BMI percentage and counseling intervention, as appropriate
• 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.