Children should get these check-ups at regular times, even when they are feeling well.
Babies grow fast and need a lot of check-ups. These should be done at:
- 1 month
- 2 months
- 4 months
- 6 months
- 9 months
- 12 months
Toddlers need check-ups at:
- 15 months
- 18 months
- 24 months
- 30 months
After 30 months, children need a check-up at ages 3, 4, 5, 6 and then yearly up to age 21. Additional check-ups are also covered based upon a child's needs.
Some children are required to have a PCP. They will provide most of your health care services to keep you well. A letter will be sent asking you to choose a PCP, you have 14 days to pick one. If you do not respond, a PCP will be picked for you. Another letter will then be sent, letting you know who has been picked as your PCP. (See below on how to change your PCP if you are not satisfied). If you need help picking a PCP, you can find a list at your local Human Service Zone offices or online at Medicaid PCP list.
No, Providers (PCPs) need to be enrolled by North Dakota Medicaid. Here is a list of providers Medicaid PCP list.
Yes, you can change your PCP at any time. To change your PCP, call 1.866.614.6005 or email email@example.com. There is no limit on when or how often your PCP can be changed.
If you receive health care services (other than well-child checks) without having a referral from your PCP you may have to pay. If you go to an urgent care clinic, outside of where your PCP is, you have 15 working days to get a referral from your PCP or you will have to pay.
No, but a sports physical can be done at the same time as a Health Tracks/Well Child Check. If you schedule an appointment with your PCP for a Health Tracks/Well Child check, make sure to let them know you also need a sports physical. Be sure to bring your sports physical form with you!
Only you can choose your child’s Provider (PCP). You must inform your local Human Service Zone who you would like as your child’s PCP. Hospital staff do not have access to add or change your PCP. Hospital staff may ask for your PCP name for their own use or to make any needed referrals.