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40 to 64 years

Regular health screenings can help "catch" health problems early, when they're easier to treat. Don't skip them!

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Clinical screenings
Immunizations


Health Care Guidelines When
Physical exam

One visit every 24 months; annually if desired

Clinical Screenings
When
Depression screening During physical exam
Tobacco use During each visit
Alcohol misuse During each visit
Height, weight, BMI and blood pressure During physical exam; nutrition and physical activity counseling for those identified as high risk
Diabetes screening Fasting plasma glucose test every 3 years in adults with hypertension or hyperlipidemia beginning at age 45
Dyslipidemia screening For all adults, a fasting lipoprotein profile (total cholesterol, LDL, HDL and triglyceride) should be obtained once every five years.
Tuberculin skin test (PPD)
For those identified as high risk
Hemoglobin and hematocrit Once every two years
Mammogram (women) Ages 40 to 49, every one to two years; ages 50 and older, annually
Cervical cancer screening/pap test (women) Every two to three years
Chlamydia and gonorrhea screening (STIs)
All sexually active women to be screened for STIs
HIV screening
Annually for adults at high risk
Colorectal cancer screening Beginning at age 50, one of the following screening options:
  • Fecal occult blood test annually
  • Flexible sigmoidoscopy every five years
  • Fecal occult blood testing annually and flexible sigmoidoscopy every five years
  • Colonoscopy every ten years
Those with a family history (first degree relative) of colorectal cancer, or adenomatous polyps: Begin screening at age 40, or 10 years before the youngest case in the immediate family. Colonoscopy every five years.
Osteoporosis risk factor assessment (women)
Once every two years as part of the physical exam
(does not include bone density test)
Menopause counseling
Anticipatory guidance at physician discretion
Breast self exam
Anticipatory guidance at physician discretion
Intimate partner violence
Anticipatory guidance at physician discretion
Immunizations When
Td/Tdap
Tetanus, diphtheria and pertussis
Every 10 years (Give one dose of Tdap if pertussis booster was not received previously.)
HepA and HepB
Hepatitis A and Hepatitis B
For high risk groups
Var
Varicella (chickenpox)
Two-dose series at least four weeks apart if no history of varicella or previous vaccination
Flu
Influenza
Annually
Pneumococcal
Pneumonia
For high risk groups
Zoster
Shingles
One dose at age 60 and older
Meningococcal For high risk groups
MMR For high risk groups


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