TMPPM 2008 > Texas Medicaid Services > Texas Health Steps (THSteps) > Clinical Information

43.2.3.3 Measurements

The physical examination must include the following measurements:

•Length, for clients approximately birth through 2 years of age.

•Height, for clients approximately 3 through 20 years of age.

•Weight, for clients birth through 20 years of age

•Body mass index (BMI) for clients 2 through 20 years of age.

•Fronto-occipital circumference, for clients younger than 2 years of age.

•Blood pressure (for clients 3 years of age and older, using the appropriate cuff size).

The requirements for measurements other than blood pressure are to be compared to the National Center for Health Statistics growth charts to identify significant deviations from norms. These charts are available on the CDC website at www.cdc.gov/nchs/about/major/nhanes/growthcharts/clinical_charts.htm or by calling THSteps at 1-512-458-7745.

Refer to: The WIC website as a resource for information about measuring heights and weights at www.dshs.state.tx.us/wichd/secure%2Dpol/nutrassess.pdf.

The requirements for measurements of blood pressure should be compared to Appendix I in Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents (2nd edition, revised), located at
www.brightfutures.org or Guidelines for Health Supervision III from the AAP Publication Department, located at www.aap.org.

Refer to: "Documentation of Completed Check Ups" .