background shadows

NJ DCF Logo with reverse copy

 

New Jersey Department of Children and Families Policy Manual

 

Manual:

CP&P

Child Protection and Permanency

Effective Date:

Volume:

V

Health Services

Chapter:

A

Health Services

4-23-2012

Subchapter:

1

Health Services

Issuance:

1200

Comprehensive Health Evaluations for Children (CHEC)

 

 

Definitions                                                                            11-15-2004

 

Terms used throughout CP&P-V-A-1-1200 have the following meanings:

 

•     “Early and Periodic Screening, Diagnosis, and Treatment (EPSDT)”  Medicaid's  comprehensive and preventive child health services for individuals under the age of 21.

 

•     “Final Evaluation Report”  A comprehensive written summary of the child's available health history; physical, developmental, and mental health findings; interpretation of diagnostic testing; and plan of care including referrals and treatment recommendations. The final evaluation report is completed by the health service provider.

 

•     “Health Care Coordinator”  A nursing professional with a minimum credential of licensed Registered Nurse (RN) with a minimum of two years pediatric experience.

 

Policy                                                                                    11-15-2004

 

A community-based network of health service providers has been organized by the NJ Department of Children and Families (DCF), Division of Child Protection and Permanency (CP&P), and Division of Medical Assistance and Health Services (DMAHS). The community-based network consists of health service providers and Regional Diagnostic and Treatment Centers (RDTC). See CP&P-II-C-2-600. The identified health service providers and RDTCs are qualified to provide comprehensive, coordinated health services in a timely, flexible, and culturally sensitive manner.

 

The focus of CHEC is to deliver comprehensive health evaluation services to children within 30 days of initial out-of-home placement.

 

Scope of Services                                                              11-15-2004

 

Health service providers and RDTCs’ provide the services listed below. All of the services are provided at one facility and are generally completed in one day. CHEC services include:

 

•     EPSDT Services;

 

-   comprehensive health and developmental history

 

-   developmental assessment

 

-   physical examination (vision and hearing screening, dental inspection, and nutritional assessment)

 

-   immunizations

 

-   blood lead testing

 

-   laboratory and other diagnostic testing

 

-   health education and guidance to caregivers and children

 

-   referrals for follow-up treatment

 

-   referrals to the Special Supplemental Food Program for Women, Infants and Children (WIC) for children under five years of age and pregnant or lactating women

 

•     pregnancy care, sexually-transmitted disease screening, and routine gynecologic and urologic care;

 

•     substance use disorder screening;

 

•     mental health screening;

 

•     neuro-developmental assessment;

 

•     post-assessment case conference;

 

•     preliminary report (to be completed on the day of the CHEC visit);

 

•     final evaluation report (to be completed within 14 days of the CHEC visit and forwarded to the caregiver, CP&P Worker, Medicaid HMO, and other involved health care providers).

 

Children presenting for these services -- are accompanied by one of the following:

 

•     Caregiver;

 

•     CP&P Worker;

 

•     CP&P Case Aide;

 

Procedure for CHEC                                                         4-23-2012

 

 

RESPONSIBILITY

ACTION REQUIRED

Caregiver/ Worker

1. Schedule appointment with a designated CHEC provider for child to be seen within 30 days of initial placement.

 

Note: Information regarding designated CHEC sites in participating counties can be obtained by calling the Office of Child and Family Health at 609-888-7110.

 

Health Service Provider

 

2. Schedule appointment within 10 working days of request.

 

3. Gather initial medical documentation from previous provider, school, pre-placement examination, and Worker to initiate medical record.

 

4. Provide CHEC services.

 

5. Complete the examination form.

 

6. Provide the Worker and Caregiver with a preliminary report on the day of the CHEC visit.

 

7. Prepare final evaluation report including plans of care within 14 days.

 

Health Care Coordinator (HCC)

 

8. Provide ongoing follow-up to ensure linkage to necessary primary and specialty services.