19 to 39 years

When we're young and healthy, it's easy to forget to get routine physicals, screenings and immunizations.  But preventive care is less expensive (in time and money!) than being sick. Make them a priority.

Jump down to:
Clinical screenings
Immunizations

Health Care Services	When
Physical exam	Ages 19 to 21: One visit every two to three years; annually if desired Ages 22 to 39: One visit every 24 months; annually if desired
Health guidance	Ages 19 to 21: one visit annually for anticipatory guidance (tobacco use, alcohol misuse, diet, exercise, family and intimate partner violence, breast self exam, etc.) at the discretion of the physician.
Clinical Screenings	When
Depression screening	During physical exam
Tobacco/drug use	During each visit
Alcohol misuse	During each visit
Chlamydia 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 (women)	Start screening within three years of beginning sexual activity or at age 21, whichever is first. Annual screening up to age 30. For ages 30 and older, screening every two to three years.
Height, weight, BMI 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 through age 21. For all adults ages 20 and older, a fasting lipoprotein profile (total cholesterol, LDL, HDL and triglyceride) should be obtained once every five years.
Hemoglobin and hematocrit	Once every two years
Tuberculin skin test (PPD)	For those identified as high risk
Immunizations	When
Td/Tdap Tetanus, diphtheria and pertussis vaccine	Every ten years or one dose of Tdap if pertussis booster was not received previously
MMR Measles, mumps and rubella vaccine	One to two doses if not vaccinated previously or no history of disease
HepA Hepatitis A vaccine	For high risk groups
HepB Hepatitis B vaccine	For high risk groups
Var Varicella (chickenpox) vaccine	Two-dose series for susceptible individuals Varicella antibody testing is recommended before vaccine given
Flu Influenza vaccine	Annually
Pneumonia Pneumococcal vaccine	If you are at high risk
Meningococcal	Ages 19-24: One dose if not vaccinated previously.
HPV Human Papillomavirus vaccine	Three-dose series for ages 19-26 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.