Nutrition, Healthy Weight and Physical Activity Anticipatory Guidance for Children and Youth

A MESSAGE FOR PRIMARY CARE PROVIDERS

Exercise and Physical ActivityExercise and physical activity are important at every age. It’s recommended that you encourage exercise and outside activity, starting at the following ages:

3 years — Encourage supervised outdoor exercise.

6 years — Encourage outdoor play for 1 hour a day.

11 years — Encourage physical activity for 1 hour per day beginning at this age through age 20.

Continuing EducationLooking for a professional continuing education opportunity?

Texas Health Steps: Overview — Physicians, nurses, social workers, certified health education specialists and community health workers can earn up to 1.25 accredited hours learning more about components of a Texas Health Steps preventive medical checkup.

To access the course, go to TXhealthsteps.com/courses-list > Texas Health Steps: Overview.

Texas Health Steps Anticipatory and Guidance for Nutrition Wellness

As a primary care provider, you play a vital role in helping our members and their families know more about making healthy lifestyle choices. We value the health education and counseling you provide our members, starting with baby wellness. Beginning around age15 months, guidance you give begins to carry over throughout childhood and into early adulthood.

Children’s Health Insurance (CHIP)In the Bright Futures Guidelines and Pocket Guide, you’ll find information on:

• Promoting Healthy Nutrition: The feeding environment; culture and food; energy (caloric) needs; andfood insecurity and hunger.

• Promoting Healthy Weight: Using body mass index (BMI) as one of several screening tools forassessing weight status; sensitivity to cultural traditions; and encouraging effective parenting.

• Promoting Physical Activity: Promoting physical activity by age; managing sickle cell trait in athleticsettings; heat-related illness: signs, symptoms, and treatment.

For more information, go to BrightFutures.aap.org > Materials & Tools > Bright Futures Guidelines and Pocket Guide.

Texas Health Steps provides specific recommendations for topics to educate families about, depending on the ages of their children.

Recommended guidance by age 15 months

18 months –4 years

3–4 years

5–6 years

7–10 years

11–14 years

15–17 years

18–20 years

Provide three nutritious meals and two nutritious snacks per day. Limit sweet and high-fat foods.

Stress importance of breakfast.

Aim for five servings of fruit and vegetables daily.

Limit juice and ensure adequate calcium.

Promote healthy weight.

Promote heathy eating behaviors.

Ensure adequate calcium and Vitamin D.

Making healthy food decisions.

For STAR, and STAR Kids and young adult STAR+PLUS members, go to DSHS.Texas.gov > I’m a Health Professional > THSteps > Anticipatory Guidance.

Billing Tips

We’ve pulled together information you’ll need for your billing to accurately reflect these member and caregiver conversations and guidance about weight assessment and counseling for nutrition and physical activity.

We’re including CPT®, healthcare common procedure coding system (HCPC) and ICD-10 codes. Including the ICD diagnosis codes helps us easily gather the information for Healthcare Effectiveness Data and Information Set (HEDIS®) measures and reduces the need for us to visit your office and pull your files.

When billing for CHIP members age 4 – 19

• CPT/CPT II: 99381-85, 99391-95, 99461

BMI percentile

• ICD-10 Diagnosis Z68.51, Z68.52, Z68.53, Z68.54

Counseling for Nutrition

• ICD-10 Diagnosis Z71.3

Counseling for Physical Activity

• ICD-10 Diagnosis Z02.5, Z71.82

THSteps Preventative Medical Checkup

• CPT/CPT II: 99381-85, 99391-95, 99461

• HCPCS G0438, G0439

• ICD-10 Diagnosis Z00.00, Z00.01, Z00.110, Z00.111,Z00.121, Z00.129

• ICD-10 Diagnosis Z68.51, Z68.52, Z68.53, Z68.54

Counseling for Nutrition

• ICD-10 Diagnosis Z71.3

Counseling for Physical Activity

• ICD -10 Diagnosis Z02.5, Z71.82

You can perform and bill for a Sick and Well visit on the same day. For more information, go to UHCCommunityplan.com > For Health Care Providers > Texas > Reference Guides > Billing both a sick and a well visit on the same day.

Did You Know?

Doc#: PCA-1-009601-02072018_04022018

© 2018 United HealthCare Services, Inc.

Helpful Tips• Use body mass index (BMI) to screen for potential weight concerns beginning at age 2 through 19.

Documenting BMI percentile and counseling for nutrition or physical activity can be done at any timeduring the year and on separate visits.

• Teens and youth benefit from one-on-one conversations with their doctor. Privacy is important.

• Handouts help.

• Please talk about nutrition, healthy weight and exercise at every opportunity.

• Knowing what to say at what age medical checkup can be easy with the THSteps Child HealthClinical Record Forms. There’s a visit form for every age to help in delivering and documentingthe THSteps six components. Go to DSHS.Texas.gov > I’m a Health Professional > THSteps >Child Health Clinical Record Forms.

• Your office may be eligible for electronic medical record (EMR) collection. For more information,go to Menu > Resources > Patient Health & Safety > Patient Safety Resources.

We’ve adopted health care best practices for our members:

The Role of the Pediatrician in Primary Prevention of Obesity: American Academy of Pediatrics

Physical Activity Guidelines for Americans: Office of Disease Prevention and Health Promotion

Value-added Services Our members have access to value-added services that we provide at no cost to them. Some of these can help get our members active for their health:

• An extra primary care visit for the completion of a camp or sports form.

• Youth organization memberships: Such as Boys and Girls Clubs and BarkerRipley Community Center.

• Mikey’s Guide: A resource guide for families with children, teens or adults with disabilities.

• Weight Watchers® meeting vouchers.

For qualification and referral information about our Value-added Services, go to:

• UHCCommunityplan.com > For Health Care Professionals > Texas > Reference Guides >Value-added Services.

• UHCProvider.com/training > UHC on Air > Texas > Value Added Services for 2017-2018.

Questions? We’re here to help.

Call your physician advocate directly.

Or call 888-303-6162 to request to have a physician advocate call you.

E-mail providerservicestx@uhc.com.