Service Category

Definitions

Primary Medical Care Services

General Primary Medical Care (Line 1)

Provision of basic preventive and curative medical services.

Diagnostic Laboratory

(Technical Component)

(Line 2)

Technical component of laboratory procedures.  Does not include services of a physician to order or to analyze/interpret results from these procedures.

X-Ray Procedures

(Technical Component)

(Line 3)

Technical component of diagnostic X-ray procedures.  Does not include services of a physician to order or to analyze/interpret results from these procedures.

Diagnostic Tests/Screenings

(Professional Component)

(Line 4)

Professional services to order and analyze/interpret results from diagnostic tests and screenings.  Includes services of a physician to order or to analyze/interpret results from these procedures.

Emergency Medical Services

(Line 5)

Provision of emergency services on a regular basis to meet life, limb or function-threatening conditions.  Nearly all centers will provide EMS via referral arrangements. 

Urgent Medical Care

(Line 6)

Provision of medical care of an urgent or immediate nature on a routine or regular basis.

24-Hour Coverage

(Line 7)

The availability of services on a 24-hour basis.

Family Planning Services

(Contraceptive Management)

(Line 8)

Provision of contraceptive/birth control or infertility treatment.  Counseling and education by providers are included here; when provided by other staff, include under enabling services.     

HIV Testing  and counseling

(Line 9)

Testing and counseling for HIV. Counseling and education by providers included here; when provided by other staff, include under enabling services.

Testing Blood Lead Levels

(Line 10)

Testing to ensure that levels of lead in blood are below critical levels.  Tests are generally conducted for at risk children.

Immunizations

(Line 11)

Provision of the following preventive vaccines: Diphtheria, Pertussis, Tetanus, Measles, Mumps, Rubella, Poliovirus, Influenza virus, Hepatitis B, Hemophilus influenza B.

Following Hospitalized Patients

(Line 12)             

Visits to health center patients during hospitalizations.

Obstetrical and gynecological care

Gynecological Care

(Line 13)

Gynecological services provided by a nurse, nurse practitioner, nurse midwife or physician, including annual pelvic exams and Pap tests, follow-up of abnormal findings, and diagnosis and treatment of sexually transmitted diseases/infections.  This category does not include family planning services.

Obstetrical Care

(Lines 14 through  20)

Provision of listed services (i.e., prenatal care, antepartum fetal assessment, ultrasound, genetic counseling and testing, amniocentesis, labor and delivery professional care, postpartum care) related to pregnancy, delivery and postpartum care.

Directly observed TB therapy

(Line 21)

Delivery of therapeutic TB medication under direct observation of center staff.

Respite Care

(Line 22)

Recuperative or convalescent services used by homeless people with medical problems who are too ill to recover on the streets or in a shelter. It includes the provision of shelter and medical care with linkages to other health care services such as mental health, oral health, substance abuse treatment and social services.

Other specialty care

(Line 23)

Services provided by medical professionals trained in any of the following specialty areas: Allergy; Dermatology; Gastroenterology; General Surgery; Neurology; Optometry/Ophthalmology; Otolaryngology; Pediatric Specialties; Anesthesiology.

Dental Care

Dental Care

(Lines 24 through 27)

Provision by a dentist or dental hygienist of the listed services: preventive, restorative, emergency, and rehabilitative.

Mental Health Treatment/ Counseling

(Lines 28 & 31)

Developmental Screening

(Line 29)

24-Hour Crisis Intervention/

Counseling

(Line 30)

Mental health therapy, counseling, or other treatment provided by a mental health professional.

Substance Abuse Treatment/

Counseling

(Lines 32 & 33)

Counseling and other medical and/or psychosocial treatment services provided to individuals with substance abuse (i.e., alcohol and/or other drug) problems.  May include screening and diagnosis, detoxification, individual and group counseling, self-help support groups, alcohol and drug education, rehabilitation, remedial education and vocational training services, and aftercare.

Comprehensive Mental Health / Substance Abuse Screening. 

(Line 33a)

Comprehensive mental health / substance abuse screening is a tool used to identify individuals / clients / patients with emotional problems, mental illness, and /or addictive disorders who may desire or benefit from behavioral health and recovery services designed to promote mental health and wellness.  The screening is conducted by or under the direction of the following licensed behavioral health providers:  clinical or counseling psychologist, psychiatrist, clinical social worker, marriage/family therapist, psychiatric nurse specialist or professional counselor.

Other Professional Services

Hearing Screening

(Line 34)

Diagnostic services to identify potential hearing problems.

Nutrition Services Other Than WIC

( Line 35)

Advice and consultation appropriate to individual nutrition needs.

Occupational Or Vocational Therapy

(Line 36)

Therapy designed to improve or maintain an individual's employment/career skills and involvement.

Physical Therapy

(Line 37)

Assistance designed to improve or maintain an individual's physical capabilities.

Pharmacy

(Line 38)

Dispensing of prescription drugs and other pharmaceutical products.

Pharmacy - Physician Dispensing

(Line 39)

Operation of a dispensary at a clinic service delivery location where the clinicians are responsible for doing the actual dispensing of the drugs.

Vision Screening

(Line 40)

Diagnostic services to identify potential vision problems.

Podiatry

(Line 41)

Services provided by a medical professional licensed to diagnose and treat conditions affecting the human foot, ankle, and their governing and related structures, including the local manifestations of systemic conditions.

Optometry

(Line 42)

Services provided by a medical professional licensed or certified to diagnose, treat and manage diseases and disorders of the visual system, the eye and associated structures as well as diagnosis of related systemic conditions.

Enabling Services

Case Management

(Line 43)

Client-centered service that links clients with health care and psychosocial services to ensure timely, coordinated access to medically appropriate levels of health and support services and continuity of care.  Key activities include: 1)assessment of the client's needs and personal support systems; 2) development of a comprehensive, individualized service plan; 3)coordination of services required to implement the plan; client monitoring to assess the efficacy of the plan; and 4) periodic re-evaluation and adaptation of the plan as necessary.

Child Care

(Line 44)

Assistance in caring for a patient's young children during medical and other health care visits.

Discharge Planning

(Line 45)

Services related to arranging an individual's discharge from the hospital (e.g., home health care).

Eligibility Assistance

(Line 46)

Assistance in securing access to available health, social service, pharmacy and other assistance programs, including Medicaid, WIC, SSI, food stamps, TANF, and related assistance programs.  Does not include eligibility assistance provided by grantee or government staff under arrangements for Out-stationed Eligibility Workers, as mandated by law; report the latter on line 51.

Environmental Health Risk Reduction

(Line 47)

Includes the detection and alleviation of unhealthful conditions associated with water supplies, sewage treatment, solid waste disposal, rodent and parasitic infestation, field sanitation, housing, and other environmental factors related to health (e.g., lead paint abatement and pesticide management).

Health Education

(Line 48)

Personal assistance provided to promote knowledge regarding health and healthy behaviors, including knowledge concerning sexually transmitted diseases, family planning, prevention of fetal alcohol syndrome, smoking cessation, reduction in misuse of alcohol and drugs, improvement in physical fitness, control of stress, nutrition, and other topics.  Included are services provided to the client's family and/or friends by non-licensed mental health staff which may include psychosocial, caregiver support, bereavement counseling, drop-in counseling, and other support groups activities.

Interpretation/Translation Services

(Line 49)

Services to assist individuals with language/communication barriers in obtaining and understanding needed services.

Nursing Home and Assisted-Living

Placement   (Line 50)

Assistance in locating and obtaining nursing home and assisted-living placements.

Outreach

(Line 51)

Case finding, education or other services to identify potential clients and/or facilitate access/referral of clients to services.

Transportation

(Line 52)

Transportation, including tokens and vouchers, provided by the grantee for patients.

Out-Stationed Eligibility Workers

(Line 53)

Provision of assistance to individuals to enable them to qualify for Medicaid, under provisions of Federal law requiring Out-Stationed Eligibility Workers.

Home Visiting

(Line 54)

Provision of services in the client's home.  Not inclusive of services such as medical, home nursing, case management etc. which have their own categories.

Parenting Education

(Line 55)

Individual or group sessions designed to enhance the child-rearing skills of parents/caregivers.

Special Education Program

(Line 56)

Educational programs designed for children with a disability.

Other

(Line 57)

This line provides the opportunity to identify an enabling service you are providing that is otherwise not listed.  Please specify the service provided.

Preventive Services Related to Target Clinical Areas

Pap test

(Line 58)

Microscopic examination of cells collected from the cervix to detect cancer, changes in cervix, or non-cancerous conditions such as infection or inflammation.

Fecal Occult Blood Test
(Line 59

Test to check for small amounts of hidden blood in stool.

Sigmoidoscopy

(Line 60)

An examination of the rectum and lower part of the colon through a tube which contains a light source and a camera lens. 

Colonoscopy

(Line 61)

An examination of the rectum and entire colon using a colonoscope.  Procedure can be used to remove polyps or other abnormal tissue.

Mammograms

(Line 62)

An x-ray of the breast.

Smoking Cessation Program

(Line 63)

A clinical and public-health intervention program for smoking cessation which may involve identification of smokers, diagnosis of nicotine dependence, and self-help products and counseling.

Glycosylated Hemoglobin Measurement For People With Diabetes  (Line 64)

A test that assesses the average blood glucose level during several months.

Urinary Microalbumin Measurement For People With Diabetes
(Line 65)

A laboratory procedure to detect very small quantities of protein in the urine indicating kidney damage.

Foot Exam For People With Diabetes

(Line 66)

A foot examination using monofilaments to test for sensation from pressure that identifies those patients who have lost protective sensation in their feet.

Dilated Eye Exam For People With Diabetes     (Line 67)  

An examination in which the pupils are dilated in order to check for diabetic eye disease.

Blood Pressure Monitoring
(Line 68)

Tracking blood pressure through regular measurement of blood pressure.

Weight Reduction Program
(Line 69)

A program in which patients are taught to eat healthy foods, engage in exercise, and monitor caloric intake in order to lose weight and improve their health.

Blood Cholesterol Screening
(Line 70)

A blood test that will detect the levels of cholesterol and triglycerides in the body in order to discover if there are abnormal or unhealthy levels of cholesterol in the blood.

Follow-up testing and related health care services for abnormal newborn bloodspot screening  (Line 71)

Conducting additional newborn screening (using the bloodspot screening or other methods) to assess for common and/or serious health conditions of newborn infants.

Other Services

WIC Services

(Line 72)

Nutrition and health counseling services provided through the Special Supplemental Food Program for Women, Infants and Children

Head Start

(Line 73)

Comprehensive developmental services for low-income, preschool children less than 5 years of age

Food Banks / Delivered Meals

(Line 74)

Provision of food or meals, not the finances to purchase food or meals.

Employment/ Educational Counseling

(Line 75)

Counseling services to assist an individual in defining career/employment/educational interests, and in identifying employment opportunities and/or education options

Assistance in Obtaining Housing

(Line 76)

Assistance in locating and obtaining suitable shelter, either temporary or permanent.  May include locating costs, moving costs, and/or rent subsidies.