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NJ DCF Logo with reverse copy


New Jersey Department of Children and Families Policy Manual




Child Protection and Permanency

Effective Date:



Health Services



Health Services




Health Services



Comprehensive Health Evaluations for Children (CHEC)



Definitions                                                                            11-15-2004


Terms used throughout CP&P-V-A-1-1200 have the following meanings:


•     “Early and Periodic Screening, Diagnosis, and Treatment (EPSDT)”  Medicaid's  comprehensive and preventive child health services for individuals under the age of 21.


•     “Final Evaluation Report”  A comprehensive written summary of the child's available health history; physical, developmental, and mental health findings; interpretation of diagnostic testing; and plan of care including referrals and treatment recommendations. The final evaluation report is completed by the health service provider.


•     “Health Care Coordinator”  A nursing professional with a minimum credential of licensed Registered Nurse (RN) with a minimum of two years pediatric experience.


Policy                                                                                    11-15-2004


A community-based network of health service providers has been organized by the NJ Department of Children and Families (DCF), Division of Child Protection and Permanency (CP&P), and Division of Medical Assistance and Health Services (DMAHS). The community-based network consists of health service providers and Regional Diagnostic and Treatment Centers (RDTC). See CP&P-II-C-2-600. The identified health service providers and RDTCs are qualified to provide comprehensive, coordinated health services in a timely, flexible, and culturally sensitive manner.


The focus of CHEC is to deliver comprehensive health evaluation services to children within 30 days of initial out-of-home placement.


Scope of Services                                                              11-15-2004


Health service providers and RDTCs’ provide the services listed below. All of the services are provided at one facility and are generally completed in one day. CHEC services include:


•     EPSDT Services;


-   comprehensive health and developmental history


-   developmental assessment


-   physical examination (vision and hearing screening, dental inspection, and nutritional assessment)


-   immunizations


-   blood lead testing


-   laboratory and other diagnostic testing


-   health education and guidance to caregivers and children


-   referrals for follow-up treatment


-   referrals to the Special Supplemental Food Program for Women, Infants and Children (WIC) for children under five years of age and pregnant or lactating women


•     pregnancy care, sexually-transmitted disease screening, and routine gynecologic and urologic care;


•     substance use disorder screening;


•     mental health screening;


•     neuro-developmental assessment;


•     post-assessment case conference;


•     preliminary report (to be completed on the day of the CHEC visit);


•     final evaluation report (to be completed within 14 days of the CHEC visit and forwarded to the caregiver, CP&P Worker, Medicaid HMO, and other involved health care providers).


Children presenting for these services -- are accompanied by one of the following:


•     Caregiver;


•     CP&P Worker;


•     CP&P Case Aide;


Procedure for CHEC                                                         4-23-2012





Caregiver/ Worker

1. Schedule appointment with a designated CHEC provider for child to be seen within 30 days of initial placement.


Note: Information regarding designated CHEC sites in participating counties can be obtained by calling the Office of Child and Family Health at 609-888-7110.


Health Service Provider


2. Schedule appointment within 10 working days of request.


3. Gather initial medical documentation from previous provider, school, pre-placement examination, and Worker to initiate medical record.


4. Provide CHEC services.


5. Complete the examination form.


6. Provide the Worker and Caregiver with a preliminary report on the day of the CHEC visit.


7. Prepare final evaluation report including plans of care within 14 days.


Health Care Coordinator (HCC)


8. Provide ongoing follow-up to ensure linkage to necessary primary and specialty services.