62 • Critical congenital heart defect screening in newborns; • Hematocrit or Hemoglobin screening for children; • Comprehensive, intensive behavioral interventions for high body mass index (≥95th percentile for age and sex) children and adolescents 6 years or older; • Lead screening for children at risk of exposure; • Tuberculin testing for children at higher risk of tuberculosis; • Dyslipidemia screening for children at higher risk of lipid disorders; • Sexually transmitted infection (STI) screening and counseling for sexually active adolescents; • Cervical dysplasia screening at age 21; and • Oral health risk assessment; • Newborn screening tests recommended by the Advisory Committee on Heritable Disorders in Newborns and Children (such as hypothyroidism screening for newborns and sickle cell screening for newborns); • Prophylactic ocular topical medication for all newborns for the prevention of gonorrhea; • Fluoride varnish to the primary teeth of all infants and children starting at the age of primary tooth eruption • Oral fluoride supplementation at currently recommended doses (based on local water supplies) to preschool children older than six months of age whose primary water source is deficient in fluoride. A prescription must be submitted in accordance with Plan rules; • Iron supplementation for asymptomatic children aged six to 12 months who are at increased risk for iron deficiency anemia; • Obesity screening for children aged six years and older, and counseling or referral to comprehensive, intensive behavioral interventions to promote improvement in weight status; • HIV screening for adolescents ages 15 and older and for younger adolescents at increased risk of infection; • Counseling for children, adolescents, and young adults ages 10 to 24 years, , and parents of young children , about minimizing their exposure to ultraviolet radiation to reduce risk for skin cancer; • Screening for Hepatitis B virus infection in adolescents at high risk for infection; • Interventions, including education or brief counseling, to prevent initiation of tobacco use among school-aged children and adolescents; and • Application of fluoride varnish to the primary teeth of all infants and children up to age 5 starting at the age of primary tooth eruption, in primary care practices. Immunizations • Routine adult immunizations are covered for you, your spouse, and dependent children who meet the age and gender requirements, and who meet the CDC medical criteria for recommendation. Immunizations administered for travel are excluded.
BTF Summary Plan A/A+ Page 66 Page 68