47 • Folic acid supplements for women who are planning or capable of pregnancy, containing 0.4 to 0.8 mg of folic acid; • Gonorrhea screening for all sexually active women, including those who are pregnant, if they are at increased risk for infection (i.e., yo ung or have other individual or population risk factors), provided as part of a well woman visit. The Plan will pay for the most cost - effective test methodology only; • Counseling for sexually transmitted infections, once per year as part of a well woman vis it; • Counseling and screening for HIV, once per year as part of a well woman visit, and for pregnant women, including those who present in labor who are untested and whose HIV status is not known; • Hepatitis B screening for pregnant women at their first pren atal visit; • Osteoporosis screening for women. Women aged 65 and older will be eligible for routine screening for osteoporosis. Younger women will be eligible for screening if their risk of fracture is equal to or greater than that of a 65 - year - old woman. T he Plan will pay for the most cost - effective test methodology only; • Rh incompatibility screening for all pregnant women during their first visit for pregnancy related care, and follow - up testing for all unsensitized Rh (D) negative women at 24 - 28 weeks’ ge station, unless the biological father is known to be Rh (D) negative; • Screening for gestational diabetes in asymptomatic pregnant women between 24 and 28 weeks’ gestation and at the first prenatal visit for pregnant women identified to be at risk for diabe tes; • Tobacco use screening and interventions for all women, as part of a well woman visit, and expanded counseling for pregnant tobacco users as set forth under the tobacco use program prescribed under ACA; • Syphilis screening for all pregnant women or other women at increased risk, as part of a well woman visit; • Screening and counseling for interpersonal and domestic violence, as part of a well woman visit; and • Effective for plan years beginning on or after February 1, 2017, depression screening for pregnant and post - partum women. Covered Preventive Services for Children • Well baby and well child visits from newborn through age 21, as recommended for pediatric preventive health care by “Bright Futures/American Academy of Pediatrics.” Visits will include the following age - appropriate screenings and assessments: • Developmental screening for children under age three, and surveillance throughout childhood; • Behavioral assessments for children of all ages; • Medical his tory; • Blood pressure screening; • Depression screening for adolescents ages 11 and older; • Vision screening; • Hearing screening; • Height, weight and body mass index measurements for children;

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