AB 75

Child Health Disability Prevention Follow-up Treatment Program (CHDPT)

The Child Health Disability Prevention Follow-up Treatment Program (CHDPT) provides, or arranges and pays for, medically necessary follow-up treatment services for any condition detected as part of a CHDP health assessment.

The authority for this program is found under Welfare & Institutions (W & I) Code Section 16970 et. seq. Commonly known as the CHDP Treatment Mandate, under this section counties are required to provide, or arrange and pay for, medically necessary follow-up treatment services for any condition detected as part of a CHDP health assessment for any child eligible for services with a Medi-Cal share of cost, or ineligible for Medi-Cal but with a family income within 200% of the Federal poverty level, unless the child is covered by another public program, or the services are covered under private insurance.

Specifically, patients eligible for the CHDPT Program are CHDP-screened children who are under 21 years of age and Medi-Cal eligible with a share of cost; or who are under 19 years of age, not covered by health insurance or any publicly-funded program, and whose family income is not more than 200% of the Federal poverty level.

CHDP follow-up treatment services are available from a network of CHDP screening and referral providers, expanded to include certain specialty services. The following is a description of service types and providers:

1. Inpatient hospital care - provided at San Francisco General Hospital (SFGH). In the unusual situation of a CHDP-screened child requiring inpatient care, most conditions would be reimbursable under the California Children's Services (CCS) program.
2. Outpatient specialty care - outpatient specialty physician and other care is provided mainly at SFGH and the health centers, with the backup availability of specialty physician care through the CHIP Physician program.
3. Pharmacy and lab services - primarily provided at SFGH and the health centers.
4. Dental services - provided through health center dental clinics and through the CHIP Physician program list of private dental providers.
5. Vision and hearing services - physician services in these areas are provided at SFGH. Free eyeglasses are also provided through SFGH.

The families of CHDP-screened children will be given a list of providers appropriate to the condition requiring follow-up treatment, first identified in the physical examination. The list shall include both "free" and "low cost" providers for the families to choose from. No payment or deductible is required from of any family of a CHDP-screened child for follow-up treatment services. The family may choose either a "free" provider if they determine that they cannot afford to pay for any portion of their care, or they may choose a "low cost" provider from the referral list.

The funding sources for CHDPT services are local general fund, through county programs at SFGH and the health centers, and Prop 99 tobacco tax dollars for SFGH and the CHIP Program. Program administration is also funded by Prop 99 tobacco tax monies. The AB 75 Project gathers data on CHDPT services and stores it in an electronic database. Statistical reports are produced which are used to measure program performance. This information is also used for reports to the funding agencies.

For further information on the CHDP Follow-up Treatment Program, please call (415) 255-3690.