CHCUP (Child Health Check-up) is a Medicaid child health program of
early and periodic screening, diagnosis and treatment services for
beneficiaries under the age of 21. It used to be called EPSDT. All children of
these ages who are SHP members should receive these examinations, including the
required focus areas. The program ensures access to necessary health resources
and assists parents and guardians in appropriately using those resources.
PCPs receive a list of eligible members at the beginning of each month who have
chosen or been assigned to the PCP as of that date. It is the responsibility of
the provider to contact members and encourage the member, or legal guardian, to
be seen for the CHCUP. Each time a provider performs a CHCUP screening, the
provider must submit an encounter form using the appropriate CPT and ICD codes
The program provides for regular health check-ups that include:
A comprehensive health and developmental
history (including assessment of behavioral health status)
A comprehensive physical exam
Referral to a dentist begins at 3 years
of age or earlier as medically necessary, with subsequent examinations by a
dentist every 6 months, or more frequently as prescribed by a dentist or other
authorized provider
Eligible children and young adults should have health check-ups at:
- Birth
- 2 - 4 days for newborns discharged in less than 48 hours after delivery
- By 1 month , 2 months, 4 months, 6 months, and 9 months
- 12 months,15 months, and 18 months
- Once every year for ages 2 – 20 years
Individuals may also request a Child
Health Check-Up at other times if they think their child needs it
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