Methodology
CDSS Measure 5B, Parts 1 and 2
Medical and Dental Care Examinations

Notes on Source Data

IMPORTANT NOTE: The following methodology may include references to report features not available on the public site version. On the public site, masking is performed to protect the privacy of individuals served by CDSS and comply with CDSS data de-identification guidelines. Values of 1 to 10 and calculations based on values of 1 to 10 are masked ('M' or '*'). In stratified views of the data, additional values (the lowest available) are masked to prevent calculation of values 1 to 10.

This report provides the percentage of children meeting the schedule for Child Health and Disability Prevention (CHDP) Medical and Dental Exams.

Minors must have a medical and/or dental exam by the end of specified age periods. (See schedules at end of this page). A child is counted as out of compliance if the child leaves an age period without an exam.

The schedule for required medical and dental examinations was revised effective on July 1, 2016 to require more frequent examinations for children in most age groups. These revisions are described in All County Letter No. 17-22:
http://www.cdss.ca.gov/Portals/9/ACL/2017/17-22.pdf?ver=2017-03-03-163554-947

This report calculates compliance for all available time periods using these revised standards. Thus, for periods prior to July 1, 2016 the reported proportion receiving a timely examination is the proportion who would have received a timely examination had the new standards been in place, not the proportion who received a timely examination using the standards of the specific time period. As a result, performance on these measures may appear lower than in the past.

The child’s primary assignment at quarter’s end determines the county. The child’s age is calculated at the end of the quarter.

Denominator:
The denominator includes children:

• In open out-of-home placements on the last day of the quarter;
• With placement episodes open 31 days or more; and
• Whose placement home is in California

• In incoming Interstate Compact for the Placement of Children (ICPC) cases;
• In non-dependent legal guardianships; or
• Younger than 1-years-old (for the dental exam report only).

Numerator:

One of two numerators will be calculated, timely medical exams, or timely dental exams. For either method the numerator is the count of non-exempt children with a timely exam as of the end of the child’s age period.

Medical Exams
These exams must have a contact type in the delivered service table of one of the following:

• 1746 – Health / CHDP Services
• 1769 – CHDP Medical Delivered
• 3236 – HEP CHDP Equivalent Physical Exam; or
• 3238 – HEP CHDP Physical Exam

Code 3237 “Medical Visit” does not qualify as a medical exam.

Medical exams are required in each of the following periods:

Dental Exams
These exams must have a contact type in the delivered service table of:

• 1768 – CHDP Dental Delivered
• 3239 – HEP Periodic Dental Exam

Code 5751 “Dental Visit” is not used to indicate a dental exam.

Referral for Dental Exams are required yearly from age 1 through age 20.

Cells containing a period (".") represent a value of zero. In cells representing quotients, a period may also indicate the indeterminate form 0/0.

This measure may also be run with filters in place to restrict the data to various subgroups of other variables (e.g., Black subgroup of the Ethnicity variable, <1 year old subgroup of the Age variable, etc.). Please see the links below for details:

Age Group

Ethnic Group

Sex at Birth

Placement Type