Child Health & Disability Prevention (CHDP) Program

What is Child Health and Disability Prevention?

Every local health department in California has a Child Health and Disability Prevention (CHDP) program that administers the program. The local CHDP program is responsible for provider recruitment, outreach to families with eligible children, community education, care coordination, provide support and education to comply with established CHDP program laws and regulations and maintain up-to-date resource materials related to the provision of CHDP services according to program standards.

The local CHDP staff recruits and certifies CHDP Medical Providers.  All CHDP health assessment providers are required to maintain current CHDP enrollment in each county or local jurisdiction in which they render services.  In Addition, they must follow CHDP program laws, regulations, guidelines, policies and procedures, as outlined in their CHDP provider agreement.

How to Become a CHDP Provider

Who is eligible for CHDP?

CHDP services are for eligible low income children from birth to 19 years and children on Medi-Cal from birth to 21 years. CHDP offers periodic preventive health assessments and services available to eligible children who appear well and also to children with existing health problems. Children identified with suspected problems after a health assessment are referred for necessary diagnosis and treatment. The local CHDP program will assist families in obtaining diagnostic and treatment services for medical, dental, and mental health problems identified during the health assessment.

The local CHDP staff recruits and certifies CHDP medical providers. All CHDP health assessment providers are required to maintain current CHDP enrollment in each county or local jurisdiction in which they render services. In addition, they must follow CHDP program laws, regulations, guidelines, policies and procedures, as outlined in their CHDP provider agreement.

CHDP Program Overview

The CHDP is a preventive program that delivers periodic health assessments and services to low income children and youth in California. CHDP provides care coordination to assist families with medical appointment scheduling, transportation, and access to diagnostic and  treatment services. health assesssments are porivded by enrolled private physicians, local health departments, community clinics, managed care plans and some local school districts. http://www.dhcs.ca.gov/services/chdp/Pages/default.aspx

UPDATES

Recommendations for Preventive Pediatric Health Care

Care Coordination

On July 1, 2017 Fee-for-Service (FFS) CHDP Providers were required to discontinue the use of the PM 160 reporting form. The PM 160 form was replaced with the CMS 1500, UB-04, or the electronic 837P. These forms do not permit the recording of sufficient health information to enable the local CHDP program to provide follow up assistance to children receiving fee-for-service (FFS) well child health assessments. As specified by Health and Safety Code 124010(a)(4) local CHDP Programs and CHDP Providers remain responsible for “referral for diagnosis or treatment when needed” and for the “methods for assuring referral is carried out” for the fee-for-service (FFS) population. The local CHDP Program will continue to ensure that the FFS children receive needed follow up care.

CHDP Fee-for-Service (FFS) Children and Youth

To ensure a referral for follow up is carried out, CHDP Providers are mandated to report FFS children needing follow up from the health assessment to the local program. To facilitate CHDP follow up, a new form has been developed for use by CHDP Providers and the local county CHDP Program. Enclosed is the CHDP Care Coordination/Follow up Form and directions for completion. This form replaces the referral for follow up function of the PM 160.  In addition, all children one year of age and older are to be referred to the dentist annually.

***All FQHCs and School Based Programs will continue to report on the PM160 Information Only form directly to Medi-Cal until further notice***

Referral

Foster Care Children and Youth 

Fee-for-Service (FFS) CHDP Providers, MCP Providers, Dental Providers and other specialty health care providers who deliver care to foster children are mandated to provide the health information to the Foster Care PHN. This information is required to be submitted on the HPCPFC Foster Care Medical/Specialty Care Contact Form.

Referral 

CHDP MEDICAL PROVIDERS

DENTI-CAL PROVIDERS

VISION PROVIDERS

Medi-Cal Vision Brochure 6.12.18

CHDP WORKSHOPS AND TRAININGS

Kern County CHDP staff hosts several learning opportunities for CHDP Providers, staff and collaborative community partners throughout the year.  Topics include vision screening, audio screening, school and immunization updates.  CEUs and CMEs are offered at qualified events. A detailed agenda and registration form is mailed out prior to each event as well as posted below.  For more information call (661) 321-3000.

Calendar – 

Registration

CHDP works with schools to meet the requirement of having a completed health assessment 18 months before or up to 90 days after enrolling in first grade.  The CHDP program assists families to meet the requirement by linking families with CHDP providers to obtain health assessments.  The certificate “Report of Health Examination for School Entry” (PM 171 A) is available through the local CHDP program, schools, provider offices and the school entry packet.

CHDP works with schools to meet the requirement of having a completed health assessment 18 months before or up to 90 days after enrolling in first grade.  The CHDP program assists families to meet the requirement by linking families with CHDP providers to obtain health assessments.  The certificate “Report of Health Examination for School Entry” (PM160 171A) is available through the local CHDP program, schools, provider offices and the school entry packet

Counseling the Overweight Child

This training is designed for local CHDP program staff to use when training CHDP providers and provider staff.  The goal of the training is explained in the Training Cover Letter.  A sample PowerPoint presentation and training materials are provided to facilitate and standardize CHDP provider training.  The PowerPoint Presentation can be customized with county PedNSS data.  The Counseling Tools are key health education tools that fit with existing CHDP childhood obesity tools; they are available in English and Spanish.  The training packet is intended to include all of the following materials but it may be customized to meet the needs of interested providers.

http://www.dhcs.ca.gov/services/chdp/Pages/CounselTraining.aspx

Growing Up Healthy (GUH) brochures are anticipatory guidance tools providers can share with parents and patients. The information is age specific for each recommended periodicity screening.

State sponsored publications for CHDP providers and patients including: brochures, directories, guides, manuals, procedures, forms, letters, and reports.
http://www.dhcs.ca.gov/formsandpubs/publications/Pages/CHDPPubs.aspx#brochur

Drowning Prevention

CHDP Dental Training

Oral Health Assessment and Referral

This training is designed for local CHDP Program staff to use when training CHDP providers and provider staff, or as a CHDP provider self-training module. The goal of the training is explained in the Introduction section below. A PowerPoint (PPT) presentation and training materials are provided to facilitate and standardize CHDP dental assessment, documentation and referrals. This training is intended to include all of the following materials, but may be customized to meet the training needs of local CHDP staff and providers.

http://www.dhcs.ca.gov/services/chdp/Pages/CHDPDentalTraining.aspx

Provider Notices

Resources

What is the CLPPP?

The CLPPP seeks to decrease Kern County children’s exposure to lead through the following methods:

  • Case management of the CHDP all children in Kern County who are lead burdened. and are income eligible or have fee-for-service Medi-Cal;
  • Education and continuing support to CHDP Providers through workshops, lead screening/testing and anticipatory guidance on lead poisoning prevention information;
  • Capacity to track lead exposure countywide and to monitor the management of lead burdened children;
  • Promotion of healthy children and prevention of lead poisoning through health fairs, educational programs for the community, the program’s newsletter Lead Educator and recall news releases;
  • Partnerships with government agencies, community-based organizations, and the private sector for the prevention of lead poisoning. For example:  Department of Human Services; Medi-Cal Managed Care Plans; School Systems; Head Start Programs; State sponsored Pre-schools; Black Infant Health Coalition; Community Connection for Child Care and the Consumer Product Safety Commission (CPSC); and
  • Compliance with Federal and State statutory and regulatory requirements.

Jennie Capucao,  PHN II (661) 868-0542

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Lead Updates & Finger Stick Sample

CHDP requires that children have blood lead testing routinely at 12 and 24 months, between 25-72 months of age if not previously tested, and if they are determined to be at risk for lead poisoning. Capillary finger stick sampling is a common method of obtaining a sample to determine a child’s blood lead level. There is a high potential for contamination of capillary specimens.   Correct finger stick technique procedures must be followed to obtain accurate blood lead test results.

To learn more about proper finger stick technique for blood lead testing and to schedule a training call Kern County Childhood Lead Poisoning Prevention Program at (661) 321-3000.

Blood_Lead_Testing_Guidance 2016


Doctor’s Corner

Guidelines and recommendations for school districts, schools, and the education community are posted in this section. Information is updated as new material is released.GetTheLeadOut2

Resources and Links


Contractors
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Community Resources

Eating Healthy FoodsLead can hurt your child.  Lead can harm a child’s brain and make it hard for children to learn, pay attention and behave.

MakeHealthierChoices_English
MakeHealthierChoices_Spanish

Learn About Lead Poisoning – A general guide to sources of lead exposure, symptoms of poisoning and how to prevent lead exposure in children.
Learn About Lead Poisoning (PDF)English | Spanish | Chinese | Hmong | Lao | Vietnamese

Protect Your Child From Lead – A general guide to sources of lead exposure, symptoms of poisoning and how to prevent lead exposure in children.
Protect Your Child From Lead (PDF)English | Spanish | Korean | Punjabi (2MB)

Simple Steps to Protect Your Child From Lead – Actions to take to prevent lead exposure around your home.
Simple Steps to Protect Your Child From Lead (PDF)English | Spanish | Chinese | Hmong | Lao | Vietnamese

Lead in House Paint and Dirt Can Hurt Your Child!
Information about lead sources around the home and what to do to protect your family.
Lead in House Paint and Dirt Can Hurt Your Child! (PDF) … English | Spanish | Chinese | Hmong | Lao | Vietnamese

Keep Your Newborn Safe from Lead – Protecting your newborn from sources of lead around the home.
Keep Your Newborn Safe from Lead (PDF) … English | Spanish

Attention Providers!

If you need CHDP/Lead Educational Materials, please call Imelda Ceja-Butkiewicz at (661) 868-1201 or email: imeldacb@kerncounty.com


Current Lead Recalls

For the Latest Lead Recalls please refer to “U.S. Consumer Product Safety Commission” by visiting: www.CPSC.GOV or calling: 1-800-638-2772.

The U.S. Consumer Product Safety Commission

Base Brands Recalls Water Bottles Due to Violation of Lead Paint Standard (Recall Alert)

Name of product:   Reduce Hydro Pro water bottles

Hazard:   The pink paint on the outside of the bear water bottle contains levels of lead that exceed the federal lead paint standard. Lead is toxic if ingested by young children and can cause adverse health issues.

Remedy: Refund, replace or call CPSC’s Hotline at 800-638-2772

Recall date:   April 19, 2018

Units Sold: About 2,000

Description:

This recall involves Base Brands children’s Reduce Hydro Pro Furry Friends water bottles. The stainless steel insulated, 14 ounce water bottles were sold in a pack of two bottles: a pink bottle with a character of a bear face and a gray bottle with the character of a lamb head. The recalled water bottles have a removable Reduce, of the bottle.

Sold At:   Costco Wholesale stores nationwide and online at www.amazon.com from January 2018 through February 2018 for about $13.

Manufactured In:   China

LEAD HAZARDSConsumer Products Safety Commission (CPSC)

March 2017,  Restoration Hardware Recalls Metal Top Dinning Tables, Active Kyds Recalls Children’s Toy Shovels and Garden Tools, LaRose Industries Recalls Cra-Z-Jewelz Ultimate Gem,  GSI Outdoors Recalls Children’s Water Bottles

August 25, 2016, Mars Retail Group Recalls M&M’S-Branded Jewelry Due to Violation of Lead Standard

http://www.cpsc.gov/en/Recalls/2016/Mars-Retail-Group-Recalls-MMs-Branded-Jewelry 16251a[1]

Monkey Glockenspiel – Childrens-Musical-Instrument

 

 

 

Far East Brokers Recalls Children’s Chairs and Swings Due to Violation of Federal Lead Paint Standard – Chairs and Swings http://www.cpsc.gov/en/Recalls/2016/Far-East-Brokers-Recalls-Childrens-Chairs-and-Swings

GSI Outdoors Recalls Children’s Water Bottles Due to Violation of Lead Standard; Sold Exclusively at L.L.Bean http://www.cpsc.gov/en/Recalls/2016/GSI-Outdoors-Recalls-Childrens-Water-Bottles

Things Remembered Recalls Children’s Jewelry Due to Violation of Lead Standard –http://www.cpsc.gov/en/Recalls/2016/Things-Remembered-Recalls-Childrens-Jewelry

Gel Spice, Inc., a Bayonne, NJ establishment expands their recall of Fresh Finds Ground Turmeric Powder due to elevated Lead levels8.15.16

Attached is a preliminary list of retailers identified as receiving the recalled product. For additional information, please see attached product list and visithttp://dld.bz/eNrmM

Recall Gel Spice, Inc. (EXPANDED) – Ground Turmeric Powder &  CA Retail Stores – Local Notification

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Lead Educator – Newsletter