Preventive Healthcare Guidelines
Children and Adolescents
Infancy- Age 1 | Ages 1-10 | Ages 11-20 | |
| Tot-to-Teen Health Check (complete examination that includes vision, hearing, development, and behavioral health screening) | Visit your PCP for this complete exam at birth and when your child is 1, 2, 4, 6, 9, and 12 months of age. | Visit your PCP for this complete exam when your child is 15, 18, and 24 months, and 3, 4, 5, 6, 7, 8, 9 and 10 years of age. | Visit your PCP for this complete exam when your child is 11, 12, 13, 14, 15, 16, 17, 18, 19, and 20 years of age. |
| Blood lead screening | At 12 months | At 24 months | |
| Laboratory (lab) tests | Ask your PCP if your child needs any laboratory (lab) tests | ||
| Immunizations* | Ask your PCP or nurse at every office visit if your child needs immunizations. (See immunization schedule (.pdf) or Programa de Vacunas para los Niños y los Adolescentes que "Hecho al Año" (.pdf) | ||
| Screening for Chlamydia (a curable sexually transmitted disease that can lead to infertility) | All sexually active females 24 and younger and for others at increased risk. Discuss with your PCP. | ||
| Screening for rubella | Once for all females of childbearing age by history of vaccination or blood test. | ||
| Screening for high blood pressure | Blood pressure measurements at every well child visit starting at age 3. | ||
| Screening for obesity | Screen children age 6 and older for obesity | ||
| Health Education and Development Counseling | Age-appropriate health education and development counseling should encompass some of the following: Infancy - Age 1
Ages 1 - 10
Ages 11 - 20
| ||
*Subject to benefit plan and its limitations.
Children and Adolescent Preventive Healthcare Guidelines 2012-2013
Directrices de la atencion medica con fines de prevencion para los ninos y los adolescentes en 2012 y 2013
Ages 21-64 | Ages 65 and older | ||
| Breast cancer screening | Mammogram (special x-ray of breast) every 1-2 years for women 40 and older. | ||
| Cervical cancer screening | Pap smear testing for women ages 21-65 every 3 years. | ||
| Screening for Chlamydia (a curable sexually transmitted disease that can lead to infertility) | All sexually active women 24 and younger and for others at increased risk. Discuss with your PCP. | All sexually active women at increased risk. Discuss with your PCP. | |
| Screening for colorectal (intestine/gut) cancer | For all individuals ages 50-75:
| ||
| Screening for Type 2 Diabetes | Discuss with your PCP. | ||
| Blood pressure check | At least every 2 years. | ||
| Lipid/cholesterol testing | At least every 5 years for men ages 35 and older. At least every 5 years for women 45 and older. | ||
| Screening for osteoporosis* (bone thinning) | For women age 64 and younger at increased risk. Discuss with your PCP. | For women ages 65 and older. Discuss with your PCP. | |
| Screening for abdominal aortic aneurysm (a heart problem) | Men ages 65-75 who have ever smoked (one-time test). | ||
| Height, weight, and obesity | Height, weight, and Body Mass Index (BMI) at every office visit. | ||
| Screening for rubella | Once for all women of childbearing age by history of vaccination or blood test. | ||
| Testing for tuberculosis | Discuss with your PCP. | ||
| Screening for depression | Discuss with your PCP. | ||
| Screening for behavioral health problems (mental health and drug abuse) | First PCP visit. | ||
| Testing for hearing and vision problems | Discuss with your PCP. | ||
| Immunizations** (shots) | Ask your PCP about immunizations you may need. | ||
| Flu shot every year. | |||
| Tetanus booster | |||
| Shingles (Herpes Zoster) vaccine for ages 60 and older (one-time vaccine). | |||
| Pneumococcal vaccine | |||
| Health Education and Counseling | Age-appropriate health education and counseling should encompass some of the following: Ages 21 - 64
| ||
*Subject to Medicare coverage guidelines.
**Subject to benefit plan and its limitations.
Adult Preventive Healthcare Guidelines 2012-2013
Directrices de la atencion medica con fines de prevencion para los adultos en 2012 y 2013
- Visit a practitioner as soon as you think you might be pregnant.
- Your practitioner will tell you how often you need to visit after your first visit, usually every four weeks until your last trimester, then every two weeks, and then every week during the last month.
- You will need to visit your practitioner again 4-6 weeks after you deliver your baby.
- Follow these guidelines in addition to those listed for your age.
Weeks 4 - 28 | What to expect At your first visit with your health care practitioner you may receive a full physical exam, take blood for lab tests, calculate your due date, receive a breast exam, pelvic exam to check your uterus (womb), and cervical exam, including a Pap test. Discuss with your practitioner
Prenatal tests
Other potential prenatal screenings
|
Weeks 28 - 36 | What to expect Keeping track of your baby's movements is a good way to detect any signs of distress or if a doctor's care is needed. Discuss the monitoring of fetal movements with your practitioner. Discuss with your practitioner
Potential prenatal screenings
|
| Weeks 36 - birth | Discuss with your practitioner
Potential prenatal screenings
Be sure to set up your postpartum visit no later than 4-6 weeks from your delivery date. |
Pregnancy Preventive Healthcare Guidelines 2012-2013
Directrices de la atencion medica con fines de prevencion para las mujeres en cinta 2012 y 2013
- American Academy of Family Physicians. Available at: http://www.aafp.org/online/en/home/html. Accessibility verified April 18 2012.
- American Academy of Pediatrics. Available at: http://www.aap.org. Accessibility verified April 18 2012.
- Centers for Disease Control and Prevention. Immunization Schedules. Available at http://www.cdc.gov/vaccines/recs/schedules/default.htm. Accessibility verified April 18 2012.
- Hagan, JF, Shaw, JS, Duncan, PM, eds. Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents. 3rd ed. Illinois: American Academy of Pediatrics; 2008. Available at: http://brightfutures.aap.org/3rd_Edition_Guidelines_and_Pocket_Guide.html. Accessibility verified April 18 2012.
- Lemnos, JA, Lockwood, CJ, eds. Guidelines for Perinatal Care. 6th ed. American Academy of Pediatrics [and] the American College of Obstetricians and Gynecologists; 2007.
- National Cancer Institute. Breast Cancer; Detection and Diagnosis; Mammograms. Available at: http://www.cancer.gov/cancertopics/wyntk/breast/page6. Accessibility verified April 18 2012.
- State of New Mexico Medical Assistance Division, New Mexico Administrative Code 8.305.8.16. Standards for Preventive Health Services. Available at: http://www.nmcpr.state.nm.us/nmac/parts/title08/08.305.0008.htm. Accessibility verified April 18 2012.
- Tot-to-Teen Health Checks are federally mandated for Medicaid as part of the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Services. Available at: http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Benefits/Early-Periodic-Screening-Diagnosis-and-Treatment.html. Accessibility verified April 18 2012.
- Womenshealth.gov. Pregnancy. Available at: http://www.womenshealth.gov/pregancy/. Accessibility verified April 18 2012.
- U.S. Preventive Services Task Force: Available at: http://www.uspreventiveservicestaskforce.org. Accessibility verified April 18 2012.
Content reviewed/revised 06/10/12 [MPC061260]
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