Wisconsin’s HealthCheck Program Ensures Comprehensive Preventive Care for Children

The Wisconsin Department of Health Services (DHS) maintains its dedication to child healthcare protection by administering the Health Check program, which constitutes an essential Medicaid Advantage that delivers complete medical diagnosis services and interventions for all beneficiaries younger than 20 years. The program functions through HealthCheck by providing basic medical services free of charge to families while working to identify health problems promptly.

The program accepts enrollment from children and young adults who maintain their membership with Wisconsin Medicaid as well as BadgerCare Plus or ForwardHealth. The medical benefits for minors include regular, detailed examinations for children according to the American Academy of Pediatrics’ ongoing healthcare plan guidelines. All HealthCheck recipients gain access to regular follow-up checkups and dental services, hearing and vision assessments, laboratory tests, prescription medications, and essential medical equipment, together with needy home health services.

The HealthCheck program requires crucial development along with autism evaluations for children. The Department of Health Services requires the use of established global developmental screening tools for children at ages 1, 2, and 3 using CPT® code 96110. The evaluation of autism through CPT code 96110 requires a “CG” modifier or ICD-10 code Z13.41 to be processed correctly at ages 18 and 30 months.

Healthcare providers possess an easy option to submit HealthCheck claims by using the UnitedHealthcare Provider Portal. Providers gain access to continuous live chat support as well as a wide collection of resources through the portal, which includes coding procedures alongside prior authorization needs and training together with delivery tools for quality services.

The UnitedHealthcare Provider Portal, together with the DHS website provides updated guidelines and resources that providers need to access.