The HealthCheck Program works to equip West Virginia's Medicaid providers with the necessary tools and knowledge to carry out EPSDT services appropriate to the American Academy of Pediatrics' standard for pediatric preventive health care,
Bright Futures: Guidelines for Health Supervision of Infants, Children and Adolescents.
This section of the web site includes resources and materials which support these standards and are easily accessible.
HealthCheck Health History and Preventive Health Screening Forms:
Print all HealthCheck Forms
Prior Authorization Forms
To order forms, please complete, print and fax the
Provider Request Form to OMCFH Materials Management at