Child and Teen Checkups (C&TC) – Abbreviations and Acronyms
Child and Teen Checkups (C&TC) – Minnesota’s name for the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Program managed by the Department of Human Services (DHS) and administered through a partnership with the Minnesota Department of Health (MDH).
Administrative Services – These outreach and follow-up services ensure that eligible families or children are informed about the program, receive assistance with accessing the services, follow up on referrals, coordinate with other community programs and outreach and training providers. Services are provided by local agencies under contract with DHS.
Administrative Services Agencies – Counties, community health boards (CHBs) and tribal agencies that provide C&TC administrative services.
Centers for Medicare & Medicaid (CMS) – A federal agency within the U.S. Department of Health and Human Services (HHS) responsible for the administration of Medicare and Medicaid.
CMS-416 Report – The report is used to collect basic information on the state Medicaid programs to assess the effectiveness of EPSDT services. It is submitted by DHS to CMS and due every April 1.
Component – For C&TC, this generally refers to a screening component or one piece of the age-related screening such as vision or hearing.
Coordinator – A contracted agency staff person responsible for local program activities.
Dental Periodicity Schedule – The Minnesota Child and Teen Checkups (C&TC) Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Schedule of Age-Related Dental Standards.
Diagnosis – The identification and determination of the nature or cause of a disease or abnormality through the use of a health history, physical exam, developmental and social-emotional or mental health examination and laboratory tests.
Documentation Forms – Age-specific visit templates that include all screening components.
Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Program – A federal program that provides comprehensive health care for children from birth through the age of 20 who are eligible for Medicaid (Medical Assistance). In Minnesota, children on MinnesotaCare are also eligible for EPSDT screening services.
Early Childhood Screening Program (ECS) – Assists parents and communities in improving the health and educational readiness of young children through the early detection of factors that may impede children’s learning, growth and physical and mental health development.
Electronic Data Interchange (EDI) – Electronic transfer of data which is required by HIPAA for claim transactions.
Eligibility – Criteria set out by legal authorities for program participation.
Evaluation and Management (E/M) codes – E/M codes are preventative medicine service codes used for billing C&TC screenings.
FACT Sheets – Comprehensive information on each C&TC component and found on the Child and Teen Checkups Fact Sheets webpage.
Fee-for-service (FFS) – Health care provided to eligible children not enrolled in managed care which is paid for by DHS as services are rendered.
Follow-up – Efforts by a local agency to ensure that a screening, diagnosis and relevant treatment are provided to that child.
Head Start – A federal school readiness program that provides comprehensive early childhood education, health, nutrition and parent involvement services for eligible children and families.
Health Insurance Portability and Accountability Act (HIPAA) – The Privacy Rule establishing national standards to protect individuals’ medical records and other personal health information and applies to health plans, health care clearinghouses, and those health care providers that conduct certain health care transactions electronically.
Inter-periodic Screening – Screening visits which occur in addition to those identified on the C&TC Program periodicity schedule. These screening visits may be a complete C&TC or partial C&TC with some of the screening components provided. Inter-periodic screenings are reimbursable when medically necessary and highly recommended for children in foster care placements.
Medicaid – The program authorized by Title XIX of the Social Security Act and Minnesota Statutes, section 256 and 256B.
Medical Assistance (MA) – The name of the Medicaid program in Minnesota. MA is funded jointly by the state and federal governments.
Minnesota Health Care Programs (MHCP) – Health care programs available in Minnesota to eligible children and families including Medical Assistance and MinnesotaCare.
Minnesota Minor consent – Statute protecting the rights of minors.
MN–ITS – HIPAA-compliant billing system for electronically submitting MHCP claims and performing other transactions or receiving information.
Objective Screening – Screening involving the use of an appropriate standardized instrument or testing method for screening.
Outreach – Any activity provided to inform or notify eligible children and their families about the C&TC Program. This includes explaining the benefits of early and periodic screening, diagnosis and treatment services to encourage participation in the C&TC/EPSDT Program and offering and providing assistance to access C&TC services.
Participation Rate – The rate of participation in the program based on participants who have at least one screening per year in a year that one or more screenings are due.
Periodicity Schedule – The Minnesota Child and Teen Checkups (C&TC) Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Schedule of Age-Related Screening Standards,
Provider Eligibility & Compliance – A DHS unit that determines enrollment eligibility for individual and organizational providers who provide services to MA and MinnesotaCare enrollees for FFS reimbursement.
Provider Guide – A guide created to assist C&TC Providers in performing screenings and billing for those screenings.
Provider News and updates – Webpage dedicated to news and resources for providers enrolled to serve Minnesota Health Care Programs (MHCP) members on the Minnesota Department of Human Services (DHS) website. News articles are retained for one year.
Remittance Advice (RA) – DHS-generated information sent to providers about the status of their billed claims.
Referral – Further assessment, diagnosis or treatment of a problem or concern identified during the C&TC screening. The referral can be made to the screening provider or to another provider.
Two-Character HIPAA-Compliant Referral Condition Codes and Definitions –
Screening Components – The individual parts of an age-related preventive visit. Components are either required, recommended or a risk assessment followed by appropriate action.
Standardized Developmental Screening Instrument – A tool used for early identification of children who are at risk of developmental delay and may assess cognition, fine and gross motor skills, speech and language, and social-emotional development.
Standardized Mental Health Screening Instrument – A tool used for early identification of risk for possible mental health disorders. Consider tool reliability, validity, sensitivity, and specificity.
Subjective Screening – Screening involving the use of listening and conversation and scored through personal judgment and less systematic than objective screening.
Treatment – The prevention, correction, or amelioration of a disease or abnormality identified by screening or diagnosis.
Well child visit or screening – A preventive health care screening which may or may not include all of the required C&TC components.
Women, Infants and Children (WIC) – A special supplemental nutrition program for women, infants and children. WIC provides Federal grants to States for supplemental food, health care referrals and nutrition education for low-income pregnant, breastfeeding and non-breastfeeding postpartum women and to infants and children up to age five who are found to be at nutritional risk.
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