CHDP Provider Information

The Child Health and Disability Prevention (CHDP) program is a health promotion and disease prevention program designed to meet the federally mandated Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program requirements for eligible low-income children and youth enrolled in temporary full scope Medi-Cal.

Providers enrolled in the CHDP program are reimbursed for delivering health assessments using state and federal funds for the early detection and prevention of disease and disabilities. A health assessment consists of a health history, physical examination, developmental assessment, nutritional assessment, dental assessment, behavioral health assessment, vision and hearing tests, assessments for tuberculosis, lead and anemia risks,  laboratory tests, immunizations, health education/anticipatory guidance, and referral for any needed diagnosis and treatment. 

The CHDP Gateway pre-enrollment process, serves as a point of entry for these children to enroll in ongoing health care coverage through Medi-Cal.

The  CHDP State Office sets the standards for provider participation in the program that is administered locally by county health department offices. These standards are available in the CHDP Provider Manual  and EPSDT section of the Medi-Cal provider manual.

  • CHDP Providers or CHDP provider sites are the approved business locations where services are provided. Additional information to become a CHDP provider is discussed below. For billing and reimbursement questions enrolled CHDP providers may contact the current fiscal intermediary by calling 1-800-541-5555 or emailing at CHDPTransition@conduent.com
  • Examiners are the approved health care professionals who deliver the services such as MDs, DOs, NPs, PAs. Examiners can be approved for one or more CHDP provider sites. Additional information to become a CHDP examiner is discussed below.

For additional info about EPSDT, visit the Medicaid webpage at: https://www.medicaid.gov/medicaid/benefits/epsdt/index.html

Or the California page at https://www.dhcs.ca.gov/services/Pages/EPSDT.aspx


How to Become a CHDP Provider:

As previously stated a CHDP provider is the site/location where services are provided.

To become a CHDP Provider in Santa Barbara County, please contact the Local Office of CHDP at (805) 681-5130 to receive an application packet.

Applicants must be State Medi-Cal, VFC and CenCal health certified to be approved and enroll in the CHDP program.

The CHDP application (DHCS 4490), and CHDP agreement (DHCS 4491) can be found below and under the "Becoming a CHDP Provider" section of the  State CHDP Website.

For further information, you may also contact the CHDP PHN at 805-681-5122

Forms-

How to Become a CHDP Examiner:

Examiners are the approved health care professionals who deliver the services such as MDs, DOs, NPs, PAs. Examiners can be approved for one or more CHDP provider sites. As previously stated a CHDP provider is the site/location where services are provided. To become a CHDP Examiner in Santa Barbara County, Please refer to the below application packet:

Physician (MD, DO) Examiner Application Packet

CHDP Allied Examiner (NP, PA) Application packet

If you have any questions regarding this process please contact the Local Office of CHDP at (805) 681-5130 or the CHDP PHN at 805-681-5122

CHDP Health Exams

The Child Health and Disability Prevention (CHDP) program provides well child health assessments to children and youth pursuant to the Early and Periodic Screening Diagnosis and Treatment (EPSDT) benefit of the Medi-Cal Program. As of July 2016, CHDP assessments follow the Bright Futures/American Academy of Pediatrics (AAP) Recommendations for Preventive Pediatric Health Care. The Bright Future Periodicity Schedule (updated February 2017) outlines screenings and assessments recommended at each well-child visit from infancy through adolescence. A dental screening/oral assessment is required at every CHDP/EPSDT health assessment regardless of age. Please see Dental Periodicity table for more detailed information.

About the CHDP Health Assessment Guidelines (HAG's):

The purpose of the CHDP Program Health Assessment Guidelines (HAGs) is to set CHDP provider standards for pediatric health assessments for children served by the CHDP Program. These Guidelines are consistent with and enhance the AAP Bright Future Guidelines, and can be used by CHDP Providers, Medi-Cal managed care health plans, and other healthcare professionals. Please refer to the CHDP Health Assessment Guidelines site for the most updated HAG's.

Immunization Schedule

"Disease prevention is the key to public health. It is always better to prevent a disease than to treat it. Vaccines prevent disease in the people who receive them and protect those who come into contact with unvaccinated individuals." (CDC, 2009)

The current immunization schedules for children birth to 18 years old are available on The CDC Immunization Schedules Page . The Immunization Schedule, lists all the recommended immunizations and the dates for receiving them. How to use the child/adolescent immunization schedule:

  1. Determine recommended vaccine by age
  2. Determine recommended interval for catch-up vaccination
  3. Assess need for additional recommended vaccines by medical condition and other indications
  4. Review vaccine types, frequencies, intervals, and considerations for special situations

If a Problem is Found During the Well Child Check-up:

One of the main goals of the periodic health assessments is the early detection of disease and related care coordination (follow-up). The CHDP local program provides care coordination to assist families with transportation and medical, dental and mental health appointment scheduling, and access to medical and dental care.

The CHDP Care Coordination/Follow-Up Form

Replaces the referral for follow-up function of the PM 160 for those children and youth with suspected problems previously reported on the PM 160 with a Follow-Up Code 4, 5 or 6.

Additionally, the CHDP Program will provide follow-up assistance, upon request, for any FFS Medi-Cal beneficiary that is at risk of being lost to follow-up where the determination of the need for care resulted from a CHDP preventive health assessment (e.g., a return visit was scheduled to complete immunizations but the patient did not keep the appointment or there was no response to provider follow-up calls and letters).

Forms must be submitted to the CHDP administrative office within 5 business days of the exam via fax at 805-681-4958.

California Children Services (CCS)

If a serious medical condition is found, a referral to the California Children Services (CCS) is encouraged. CCS provides medical care to children who are at risk for or who have serious, chronic and disabling physical conditions or diseases.

Health Care Program for Children in Foster Care (HCPCFC)

For Foster Care Children and youth please use the newly state approved HCPCFC Foster Care Medical (Specialty) Form. The HCPCFC Foster Care Medical (Specialty) form has replaced the health contact form and must be completed after any primary, preventive or specialty care encounter with a foster child/youth. Foster Family Agencies (FFAs) may require additional documentation for licensing purposes.

This form is to be used for any medical and other specialty health care provider who delivers care to foster children/youth, regardless of payer source.

Forms must be submitted to the CHDP administrative office within 5 business days of the exam via fax at 805-696-8951

CHDP Trainings

CHDP Audiometric (Hearing) Screening Training:

Staff conducting audiometric (hearing) screening must be certified. Trainings are offered by the CHDP local program yearly. CHDP certification must be renewed every four years. To maintain certification during these 4 years the certified staff must conduct at least one screening every year.

The training focused on Play audiometry, preferred method, to successfully screen children 2 and a half to 6 years of age and/or children with developmental delays.

The Hearing Screening Play Audiometry Syllabus was developed by the CA Department of Health Care Services (DHCS), Children's Medical Services Branch, primarily to assist the Child Health and Disability Prevention (CHDP) service providers in meeting the quality of care standards of the program.  The CHDP program is making the   Audiometric Screening and Play Audiometry Syllabus   available to use as a reference. It is not designed as an individual/self-teaching program.

Announcements for trainings are usually sent to office managers. CHDP provider staff needing additional information regarding initial audiometric screening certification or re-certification and/or screening accuracy (method, referral guidelines…) may contact the local CHDP program office at 805-681-5130.

CHDP Vision Screening Training:

Staff conducting visual acuity screening must be certified. Trainings are offered by the CHDP local program yearly. CHDP certification must be renewed every four years.

Announcements for trainings are usually sent to office managers. CHDP provider staff needing additional information regarding initial vision screening certification or re-certification and or screening accuracy (method, referral guidelines…) may contact the local CHDP program office at 805-681-5130.

Fluoride Varnish Certification

Fluoride varnish is a protective resin coating of sodium fluoride painted on the teeth that can reduce the risk of tooth decay/cavities by 59%. The topical fluoride varnish application not only prevents new cavities from forming but also can reverse the early decay process by strengthening the enamel when applied on white line decalcification areas.

The USPSTF and AAP recommend that primary care clinicians apply fluoride varnish to the teeth of all infants and children through 5 years of age (up to 6th birthday). Starting when the first tooth erupts, Fluoride Varnish should be applied up to 3 times per year (but at least twice a year) and documented in child's medical record. Current American Academy of Pediatric Dentistry recommendations for children at high risk of caries is that fluoride varnish be applied to their teeth every 3 to 6 months.

The AAP article "Fluoride Use in Caries Prevention in the Primary Care Setting" outlines the indications for fluoride use and the benefits of Fluoride varnish applications in primary care setting: https://pediatrics.aappublications.org/content/pediatrics/134/3/626.full.pdf

Trainings are available upon request and can be facilitated at the CHDP provider site. Please contact the local CHDP program office at 805-681-5130 to schedule a training session.

CHDP Overview and Other Related Trainings

New provider sites and new examiners routinely receive initial trainings at their site. Training refreshers and/or meetings to discuss any aspects of the program including guidelines are available upon requests. Please contact the local CHDP program office at 805-681-5130 to schedule a training session.