Child/Adolescent Schedule

The recommended healthcare preventive needs are constantly changing.  For example, an annual physical/medical examination is not always recommended or necessary.  Although your personal health could impact these recommendations, the schedules below can help recommend the services that should be considered based upon your age.

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Each year Influenza Vaccination only
Newborn HepB At the hospital
3-5 days Encounter
2 weeks - 1 month    Encounter Optional
2 months HepB, PCV13, RV5, DTaP-IPV/Hib Encounter
4 months PCV13, RV5, DTaP-IPV/Hib Encounter
6 months HepB, PCV13, RV5, DTaP-IPV/Hib Encounter/Alternative Option
9 months Encounter
12 months HepA, MMR, VAR Encounter/Alternative Option
15 months PCV13, DTaP-IPV/Hib Encounter
18 months Encounter/Alternative Option
2 years HepA Encounter
30 months    EPSDT Encounter (AZ, FL, MN, WI)
3 years Encounter
4 years
EPSDT Encounter (AZ, FL, MN, WI)
5 years DTaP-IPV, MMRV Encounter
6 years EPSDT Encounter (AZ, FL, MN)
7 years    Encounter/Alternative Option
8 years
EPSDT Encounter (AZ, FL, MN)
9 years  HPV (2 doses 6 months apart)  Encounter/Alternative Option
10 years    EPSDT Encounter (AZ, FL, MN) 
11 years MCV4, Tdap Encounter
12 years    EPSDT Encounter (AZ, FL, MN)
13 years Encounter
14 years    EPSDT Encounter (AZ, FL, MN)
15 years Encounter
16 years MCV4, MenB* (Bexsero - 2 doses one month apart) EPSDT Encounter (AZ, FL, MN)
17 years Encounter
18 years    EPSDT Encounter (AZ, FL, MN)
19 years   Encounter
20 years    EPSDT Encounter (AZ, FL, MN)
21 years   Encounter

 

Definitions

Encounter: Well child visit face-to-face with a health care provider and care team. 
Encounter Optional: Provider, care team member and parent decide together at time of 3-5 days well visit whether the newborn needs a visit at 2 or 4 weeks of age. 
Alternative Option: Health promotion visit can be a face-to-face encounter with a health care team member (for example, a nurse well visit), or an alternative non-face-to-face visit as recommended by the health care team (for example, a developmental screening only at 18 months). 
EPSDT: Early Periodic Screening, Diagnosis, and Treatment - Additional visits required per state and federal guidelines that apply to Medicaid patients. 

Abbreviations 

DTaP: Diphtheria-Tetanus-acellular Pertussis vaccine (pediatric form)
DTaP-IPV: Diphtheria-Tetanus-acellular Pertussis vaccine-Inactivated Poliovirus Vaccine (Quadracel)
DTaP-IPV/Hib: Diphtheria-Tetanus-acellular Pertussis vaccine-Inactivated Poliovirus Vaccine/Haemophilus influenzae Type B vaccine (Pentacel)
HepA: Hepatitis A vaccine (minimum spacing 6 months between doses)
HepB: Hepatitis B vaccine
HPV: Human Papillomavirus Vaccine (2 doses 6 months apart for immunocompetent patients who get the first dose before 15 years of age; otherwise 3 doses at 0, 2 and 6 months)
IPV: Inactivated Poliovirus Vaccine
MCV4: Meningococcal Conjugate Vaccine (quadrivalent)
*MenB: Meningococcal B vaccine (optional) 16 to 23 years of age; (Bexsero - 2 doses at least 1 month apart)
MMR: Measles-Mumps-Rubella vaccine
MMRV: Measles-Mumps-Rubella-Varicella vaccine (give MMR and VAR instead if before age 4 or after age 12 years)
PCV13: Pneumococcal Conjugate Vaccine (13-valent)
RV5: Rotavirus (pentavalent) vaccine (first dose no later than 14 weeks, 6 days of age and last dose no later than 8 months, 0 days of age).
Tdap: Tetanus-diphtheria-acellular pertussis vaccine (adolescent-adult form)
VAR: Varicella zoster vaccine (chicken pox)