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2 to 6 years

Make sure your young children get a healthy foundation as they grow.

Clinical screenings
Immunizations


Health Care Services When
Physical exam Routine visit at 30 months

One visit every 12 months for ages 3 to 6.
Clinical Screenings When
Blood pressure (beginning at age 3), height, weight and physical assessment
During physical exam
Developmental screening  What is this?
At 30 months
Autism screening

At 24 months

BMI percentile To begin at age 2. Include counseling for nutrition and physical activity.
Vision screening

Once between ages 2 and 4

Hearing screening Once between ages 2 and 6
Lead poisoning screening Risk assessment for lead exposure

Blood test for those identified as high risk
Tuberculin skin test (PPD) For those identified as high risk
Dyslipidemia screening (risk assessment based on family history and physical exam) Assessment at 2, 4 and 6 years. (Routine lab testing not recommended, but may be done for children identified as high risk.)
Prevention of dental cavities Prescribe oral fluoride supplementation if primary water source is deficient.
Dental referral at 3 and 6 years.
Immunizations When
DTap
Diphtheria and tetanus toxoids and acellular pertussis
Once between 4 and 6 years
IPV
Inactivated poliovirus
Once between 4 and 6 years
MMR
Measles, mumps, and rubella
Second vaccine given between ages 4 and 6. (See previous page for first vaccine.) MMR vaccines should never be given less than one month apart.
HepB
Hepatitis B
May begin three-dose series if not given in infancy
Var
Varicella (chickenpox)
Second dose at 4 to 6 years
Flu
Influenza
Annually. Two doses separated by four weeks if receiving influenza for the first time.
Pneumonia
Pneumococcal
Ages 2 to 6: a single dose, if not immunized previously for healthy children.
One additional dose for children with underlying medical conditions who have already received three doses.
HepA
Hepatitis A
At physician discretion: two doses at least 6 months apart if not vaccinated previously and at high risk.
Meningococcal One dose for ages 2 to 10 if high risk


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.
Last modified 12/15/09