13 to 18 years

When your children are teenagers, they need encouragement to eat right and exercise more than ever. And they need the checkups and screenings in the chart below.

Jump down to:
Clinical screenings
Immunizations

Health Care Services	When
Physical exam	Annually
Clinical Screenings	When
Chlamydia screening and gonorrhea screening (STIs)	All sexually active women to be screened for STIs
HIV screening	Annually for adolescents and adults at high risk
Cervical cancer screening (females)	Start screening within three years of beginning sexual activity
Hearing screening	Every three years
Height, weight, BMI percentile and blood pressure	During physical exam; nutrition and physical activity counseling for those identified as high risk
Dyslipidemia screening (risk assessment based on family history and physical exam)	Assessment annually. (Routine lab testing not recommended. May be done for children at high risk.)
Urinalysis	Once between 11 and 21 years
Tuberculin skin test (PPD)	For those identified as high risk
Hemoglobin and hematocrit	Once between 11 and 21 years; annually for menstruating teens
Depression screening	During physical exam
Tobacco use	During each visit
Alcohol/drug misuse	During each visit
Prevention of dental cavities	Prescribe oral fluoride supplementation to children through age 16 if primary water source is deficient.
Safety, injury prevention	Anticipatory guidance at physician discretion
Sexually transmitted infections	Anticipatory guidance at physician discretion
Immunizations	When
Td/Tdap Tetanus, diphtheria and acellular pertussis	Every ten years. (One dose of Tdap if pertussis booster was not received previously.)
MMR Measles, mumps and rubella	Two doses if not vaccinated previously or no history of disease
HepB Hepatitis B	May begin three-dose series if not previously vaccinated
Var Varicella (chickenpox)	Two-dose series at least four weeks apart if no history of varicella and no previous vaccination
Flu Influenza	Annually
Pneumonia Pneumococcal	For high risk groups
HepA Hepatitis A	Two doses for all adolescents up to age 18
Meningococcal	One dose if not vaccinated previously
HPV Human Papillomavirus	Three-dose series for ages 13-18 on a zero, two and six-months schedule if no previous vaccination. Minimum spacing: 4 weeks between #1 and #2; 12 weeks between #2 and #3; must be 24 weeks between doses #1 and #3.

For physician use only: Specific EPSDT requirements may vary from the guidelines. Please refer to the online Provider Manual to review the EPSDT periodicity chart for the mandated health screening program for Medicaid recipients younger than age 21.