Iowa Admin. Code r. 441-84.3

Current through Register Vol. 47, No. 11, December 11, 2024

Rule 441-84.3 - Screening services

Screening may be done by a screening center or other qualified providers. Other qualified providers are physicians, advanced registered nurse practitioners, rural health centers, federally qualified health centers, clinics, and dentists. Screening services shall include all of the following services:

(1) A comprehensive health and developmental history including an assessment of both physical and mental health development. This includes:

a. A developmental assessment.

b. An assessment of nutritional status.

(2) A comprehensive unclothed physical examination. This includes:

a. Physical growth.

b. A physical inspection including ear, nose, mouth, throat, teeth, and all organ systems such as pulmonary, cardiac, and gastrointestinal.

(3) Appropriate immunizations according to age and health history as recommended through the Vaccines for Children Program, except that "covered Part D drugs" as defined by 42 U.S.C. Section 1395w-102(e)(1)-(2) are not covered for any "Part D eligible individual" as defined in 42 U.S.C. Section 1395w-101(a)(3)(A), including an individual who is not enrolled in a Part D plan.

(4) Health education including anticipatory guidance. Services are provided in compliance with federal regulations at Title 42, Part 441, Subpart B, as amended to March 29, 2022.

(5) Hearing and vision screening.

(6) Appropriate laboratory tests. These shall include:

a. Hematocrit or hemoglobin.

b. Rapid urine screening.

c. Lead toxicity screening for all children aged 12 to 72 months.

d. Tuberculin test, when appropriate.

e. Hemoglobinopathy screening.

f. Serology, when appropriate.

(7) Direct dental referral for children over age 12 months.

Iowa Admin. Code r. 441-84.3

Amended by IAB December 28, 2022/Volume XLV, Number 13, effective 2/1/2023