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2012 Texas Medicaid Provider Procedures Manual

Children’s Services Handbook : Index

Index
A
AAPD periodicity guidelines CH-350
Abuse
DFPS Abuse Hotline CH-337
reporting CH-337
staff training CH-338
Additional Required Laboratory Tests Related to Medical Checkups for Adolescents CH-239, CH-240
Administration With Counseling CH-233
Administration Without Counseling CH-233
Alveoloplasty CH-185
Ambulatory surgical center (ASC)
dental services CH-194
Anemia Screening CH-238
Anesthesia
dental CH-188
B
Blood pressure devices CH-38
C
Case Management for Children and Pregnant Women (CPW) CH-218
CCP
see Comprehensive Care Program
Chemical dependency treatment facility (CDTF)
enrollment CH-15
Claims filing
claim form examples
Comprehensive Outpatient Rehabilitation Facility (CORF) (CCP Only) CH-284
Diagnosis and Treatment (Referral from THSteps Checkup) CH-285
Durable Medical Equipment (CCP Only) CH-286
Early Childhood Intervention (CCP Only) CH-287
Early Childhood Therapy CH-289
Inpatient Rehabilitation Hospital (CCP Only) CH-290
medical nutritional counseling (CCP only) CH-291
Orthotic and Prosthetic Services (CCP Only) CH-293
physical therapy (PT) (CCP Only) CH-294
Private Duty Nurses (CCP Only) CH-295
School Health and Related Services (SHARS) CH-296
Speech-Language Pathologists (CCP Only) CH-297
THSteps Established Patient and Referral, Immunizations with Counseling, and by a Physician CH-299
THSteps Established Patient and Referral, TB Skin Test, and Physical Examination by a Physician CH-300
THSteps New Patient/Immunization, Physical Examination by a Nurse Practitioner, and FQHC Billing (medical checkup) CH-298
Clinical records CH-304
Clinician-directed care coordination services
Comprehensive Care Program (CCP) CH-18
Coding
CDT CH-164, CH-165, CH-166
Communicable Disease Reporting CH-240
Communicable disease reporting CH-336
Comprehensive Care Program (CCP) CH-15, CH-220
benefits and limitations CH-16
client eligibility CH-16
clinician-directed care coordination services CH-18
claims information CH-25
documentation requirements CH-23
medical home clinician telephone consult with specialist CH-25
specialist/subspecialist telephone consult with medical home clinician CH-25
face-to-face services CH-23
medically complex health care CH-24
multidisciplinary health care CH-24
non-face-to-face services CH-20
care plan oversight CH-22
clinician supervision of a home health client CH-20
clinician supervision of a hospice client CH-20
general requirements CH-22
medical conferences CH-20
medical team conference CH-22
other supervision CH-20
prolonged services CH-21
supervision of a nursing facility client CH-20
telephone consultation CH-21
prior authorization CH-23
reimbursement CH-26
clinician-directed care coordination services (CCP)
benefits and limitations CH-18
clinician-directed coordination services
face-to-face services
general requirements CH-23
comprehensive outpatient rehabilitation facility (CORF) CH-26
Diabetic Equipment and Supplies CH-44
Prior Authorization and Documentation Requirements CH-44
Purchase of Tubeless External Insulin Pump CH-45
Tubeless External Insulin Pump Rentals CH-45
diagnosis coding CH-18
documentation requirements CH-17
drug and medical device approval CH-18
Durable Medical Equipment (DME Supplier
CH-33
Mobility Aids CH-49
Feeder Seats, Floor Sitters, Corner Chairs, and Travel Chairs CH-52
Fitting of Custom Wheeled Mobility Systems CH-51
Portable Client Lifts for Outside the Home Setting CH-49
Prior Authorization and Documentation
Portable Client Lifts for Outside the Home Setting CH-53
Seating Assessments CH-54
Special-Needs Car Seats CH-55
Stroller Ramps-Portable and Threshold CH-55
Wheeled Mobility System CH-53
Prior Authorization and Documentation Requirements CH-53
Seating Assessment CH-51
Services/Benefits and Limitations CH-49
Special-Needs Car Seats CH-52
Stroller Ramps-Portable and Threshold CH-52
Travel Safety Restraints CH-53
Wheeled Mobility Systems CH-50
durable medical equipment (DME)
accessories CH-36
benefits and limitations CH-33
Blood Pressure Device Components, Replacements, and Repairs CH-39
cardiorespiratory apnea monitor CH-41
benefits and limitations CH-41
documentation requirements CH-41
prior authorization CH-41
claims information CH-74
cribs CH-60
croup tent
benefits and limitations CH-42
documentation requirements CH-42
prior authorization CH-42
DME certification and receipt form CH-36
documentation requirements CH-35
donor human milk CH-46
benefits and limitations CH-46
documentation requirements CH-46
prior authorization CH-46
electronic blood pressure monitoring device CH-38
enrollment CH-33
equipment CH-60
equipment adjustments CH-36
equipment modification CH-36
equipment repairs CH-36
hospital beds CH-60
hospital beds and safety enclosure CH-62
hospital beds, cribs, and equipment
benefits and limitations CH-60
documentation CH-61
positioning devices CH-62
prior authorization CH-61
repair or replacement CH-62
Hospital-Grade Blood Pressure Devices CH-39
incontinence supplies CH-47
benefits and limitations CH-47
documentation requirements CH-49
prior authorization CH-49
in-home total parental nutrition (TPN)
prior authorization and documentation CH-67
Manual and Automated Blood Pressure Devices CH-38
nutritional products
documentation CH-58
noncovered services CH-57
prior authorization CH-58
women, infants and children program (WIC) CH-57
pharmacies CH-33
phototherapy devices CH-63
benefits and limitations CH-63
documentation requirements CH-64
prior authorization CH-64
retroactive eligibility CH-65
policies specific to CCP CH-37
prior authorization CH-35
pulse oximeter
benefits and limitations CH-42
documentation requirements CH-43
prior authorization CH-43
purchase vs. rental CH-35
reimbursement CH-74
special needs car seats CH-65
benefits and limitations CH-65
documentation requirements CH-66
prior authorization CH-66
travel restraints CH-65
benefits and limitations CH-65
documentation requirements CH-66
prior authorization CH-66
Vitamin and Mineral Products CH-69, CH-73
durable medical equipment (DME) supplier
blood pressure devices
prior authorization and documentation CH-39
croup tent/pulse oximeter
documentation CH-42
prior authorization CH-42
documentation of supply delivery CH-37
in-home total parental nutrition (TRN) CH-66
enrollment CH-16
inpatient rehabilitation hospital (freestanding) CH-131
benefits and limitations CH-131
claims information CH-133
comprehensive treatment CH-131
documentation requirements CH-131
enrollment CH-131
continuity of eligibility through change of ownership CH-131
prior authorization CH-131
reimbursement CH-133
client transfers CH-134
medical nutrition counseling services CH-79
benefits and limitations CH-79
claims information CH-83
enrollment CH-79
reimbursement CH-83
nutritional products CH-56
enteral feeding pumps
prior authorization CH-59
enteral supplies
prior authorization CH-60
nasogastric, gastrostomy, or jejunostomy feeding tube
prior authorization CH-59
Services/Benefits and Limitation CH-56
occupational therapy (OT) CH-123
benefits and limitations CH-123
claims information CH-125
documentation requirements CH-124
enrollment CH-123
prior authorization CH-124
reimbursement CH-125
orthotic and prosthetic services
claims information CH-99
orthotics services CH-83
benefits and limitations CH-83
documentation CH-85
foot orthoses CH-87
foot inserts CH-87
orthopedic shoes CH-88
wedges and lifts CH-88
lower-limb orthoses CH-86
noncovered orthotic services CH-84
other orthopedic devices CH-88
dynamic splints CH-89
protective helmets CH-88
prior authorization CH-85
related services CH-89
modifications CH-89
repairs CH-89
replacements CH-89
spinal orthoses CH-86
upper-limb orthoses CH-88
prosthetic services CH-92
benefits and limitations CH-92
craniofacial prostheses CH-98
documentation CH-93
external breast prostheses CH-98
lower-limb prostheses CH-94
ankle prosthesis CH-96
foot prostheses CH-96
knee prostheses CH-96
microprocessor-controlled CH-96
sockets CH-97
substitutions or additions CH-96
noncovered prosthetic services CH-93
prior authorization CH-93
related services CH-98
accessories CH-98
modifications CH-98
repairs CH-98
replacements CH-98
upper-limb prostheses CH-97
myoelectric CH-97
reimbursement CH-99
orthotics and prosthetics CH-83
cranial molding orthotics CH-90
benefits and limitations CH-90
documentation requirements CH-90
prior authorization CH-90
enrollment CH-83
thoracic-hip-knee-ankle orthoses (THKAO) CH-91
benefits and limitations CH-91
documentation requirements CH-92
parapodium
benefits and limitations CH-91
prior authorization CH-92
standing frame/brace
benefits and limitations CH-91
vertical stander
benefits and limitations CH-92
outpatient rehabilitation facility (ORF) CH-26
personal care services (PCS) CH-99
benefits and limitations CH-100
claims information CH-105
client eligibility CH-102
accessing the PCS benefit CH-103
primary practioner’s role CH-103
documentation requirements CH-104
enrollment CH-99
place of service CH-102
prior authorization CH-104
provided in group settings CH-104
provider responsibilities CH-105
reimbursement CH-106
retrospective review CH-105
physical therapy (PT) CH-126
benefits and limitations CH-126
claims information CH-128
documentation requirements CH-127
enrollment CH-126
prior authorization CH-127
reimbursement CH-128
physician signature CH-18
prior authorization CH-17
private duty nursing CH-106
authorization appeals CH-117
authorization for revision of current services CH-115
benefits and limitations CH-107
CCP Prior Authorization Request Form CH-117
claims information CH-121
client/provider notification CH-117
criteria CH-111
amount and duration of PDN CH-112
client eligibility CH-111
medical necessity CH-111
place of service CH-111
documentation requirements CH-112
enrollment CH-106
home health plan of care CH-118
Nursing Addendum to Plan of Care (CCP) Form CH-118
prior authorization CH-112
initial requests CH-115
recertifications of authorizations CH-116
reimbursement CH-121
responsible adult or identified contingency plan requirement CH-119
retroactive client eligibility CH-114
retrospective review CH-120
skilled nursing visit
TPN administration education CH-110
start of care (SOC) CH-114
termination of authorization CH-117
School Health and Related Services (SHARS) CH-134
appealing denied claims CH-150
audiology CH-137
benefits, limitations, and prior authorization CH-137
billing CH-143
billing units based on 15 minutes CH-150
billing units based on an hour CH-150
claims filing CH-149
counseling services CH-138
billing CH-139
documentation requirements CH-149
eligibility verification CH-135
enrollment CH-136
nonschool SHARS enrollment CH-136
nursing services CH-140
billing CH-141
occupational therapy (OT) CH-142
overview CH-134
personal care services (PCS) CH-143
physical therapy (PT) CH-144
billing CH-145
physician services CH-145
prior authorization CH-148
private school enrollment CH-137
psychological services CH-140
psychological testing CH-139
record retention CH-149
reimbursement CH-151
speech therapy (ST) CH-146
description of services CH-146
provider and supervision requirements CH-146
referral CH-146
transportation services CH-147
speech therapy (ST) CH-128
benefits and limitations CH-128
claims information CH-130
documentation requirements CH-129
enrollment CH-128
prior authorization CH-129
reimbursement CH-130
texas health steps (THSteps)
dental
eligibility CH-157
texas health steps (THSteps) dental
change of provider CH-160
client rights CH-156
complaints and resolution CH-156
dental therapy under general anesthesia CH-190
therapy services CH-121
Comprehensive Health and Development History CH-228
Comprehensive Health and Developmental History CH-228, CH-230
Comprehensive outpatient rehabilitation facility (CORF) CH-26
Comprehensive Unclothed Physical Examination CH-230, CH-231
Croup tent CH-42
D
Dental CH-154
adjunctive general services CH-188
anesthesia CH-188, CH-192
criteria CH-192, CH-193
client eligibility CH-155
dentures CH-178
diagnostic services CH-164
doctor of dentistry practicing as a limited physician CH-156
emergency services CH-205
clients over 21 CH-205, CH-206
fee schedule CH-163
first dental home CH-159
handicapping labiolingual deviation (HLD) CH-202
HLD score sheet CH-202, CH-204
hospitalization CH-194
ICF-MR dental services CH-158
provisions CH-158
informed consent CH-158
mandatory prior authorization CH-206
oral/maxillofacial surgery CH-184
orthodontic procedure codes CH-199
orthodontic services CH-194
comprehensive treatment CH-198
mandatory prior authorization CH-208
special orthodontic appliances CH-199
transfer of services CH-197
treatment plans CH-196
periodicity CH-161
periodontal services CH-175
preventive services CH-167
prophylaxis CH-167
prosthodontics, removable CH-178
radiographs CH-165
referrals CH-160
reimbursement CH-211
restorations CH-170
services CH-155
space maintenance (passive appliance) CH-169
supernumerary tooth identification CH-162
tests and examinations CH-167
Texas Health Steps (THSteps) guidelines CH-349
therapeutic services CH-169
third party resources CH-211
THSteps dental services CH-155, CH-157, CH-220
provisions CH-158
TMHP information and assistance CH-244
tooth identification (TID) and surface identification (SID) CH-162
treatment plans CH-161
utilization review CH-211
Dental Referral CH-234
Dentures CH-178
Developmental Surveillance or Screening CH-228
Diabetes CH-239
Donor human milk CH-46
Durable medical equipment (DME)
claims filing
claim form example (CCP) CH-286
E
Early Childhood Intervention (ECI)
claim form example CH-288
claim form example (CCP only) CH-287
referral CH-343
referrals CH-336
statutory requirements CH-217
Early Childhood Therapy
claim form example CH-289
Electronic blood pressure monitoring device CH-38
Endodontics CH-173
Enrollment
see Provider enrollment
EPSDT
see also Texas Health Steps (THSteps)
F
Family planning services CH-219
Fee schedules
dental CH-163
orthodontic CH-199
Forms
CCP
ECI Request for Outpatient Therapy CH-249
Prior Authorization Request for Non-Face-to-Face Clinician-Directed Care Coordination Services CH-273
Prior Authorization Request Form CH-248
Private Duty Nursing 6 Month Authorization CH-249
DME Certification and Receipt Form CH-250
Donor Human Milk Request Form CH-254
External Insulin Pump CH-255
Home Health Plan of Care CH-256
Nursing Addendum to Plan of Care CH-257
Pulse Oximeter Form CH-264
Request for Extension of Outpatient Therapy (Form TP-2) CH-266
Request for Initial Outpatient Therapy (Form TP-1) CH-265
Texas Health Steps
Dental Criteria for Dental Therapy Under General Anesthesia CH-269
Dental Mandatory Prior Authorization Request CH-268
laboratory CH-305
Referral Form CH-272
Referral Form Instructions CH-271
Specialist or Subspecialist Telephone Consultation Form for Non-Face-to-Face Clinician-Directed Care Coordination Services-Comprehensive Care Program (CCP) CH-275
Texas Health Steps (THSteps) CH-303
claim forms CH-304
TVFC Patient Eligibility Screening Record CH-308
TVFC Patient Eligibility Screening Record (Spanish) CH-309
TVFC Provider Enrollment CH-310
TVFC Questions and Answers CH-313
Wheelchair Seating Assessment Form CH-276
G
Gonorrhea and Chlamydia Infection Testing CH-239
H
Health Education and Anticipatory Guidance CH-234
Hearing Screening CH-231
Hearing screening
early hearing detection and intervention CH-342
Hearing services
School Health and Related Services (SHARS) CH-137
HIV Testing CH-240
HSteps
Services/Benefits, Limitations, and Prior Authorization
Mandated Components CH-228, CH-230
Human donor milk CH-46
Hyperlipidemia CH-239
I
ImmTrac CH-217, CH-325
how to report records CH-325
Immunizations CH-231, CH-233, CH-234
administrations and immunizations CH-323
exemption for schools and child-care facilities CH-318
free vaccines CH-323
general recommendations CH-323
how to report records CH-325
recommended childhood schedule CH-319
requirements for TVFC CH-324
Texas Health Steps
TVFC requirements CH-324
Vaccine Adverse Event Reporting System (VAERS) CH-318
Texas Health Steps (THSteps) CH-318
J
JCIH 2007 position statement CH-343
L
Laboratory Reporting CH-238
Laboratory Submission CH-236
Laboratory Supplies CH-236
Laboratory Test CH-234, CH-236, CH-238, CH-239, CH-240
Lead poisoning CH-328
Lead screening CH-327
forms CH-333
measuring blood lead levels CH-328
prevention materials CH-333
procedures CH-328
symptoms of lead poisoning CH-328
Lead Screening and Testing CH-238
M
Medical nutrition counseling CH-79
Medical nutritional counseling
CCP claim form example CH-291
Mental Health Screening CH-230
N
Neglect
reporting CH-337
staff training CH-338
Newborn
blood screening CH-337
hearing screening CH-339
1-3-6 Month Practitioner’s Guide CH-340
birth screen CH-342
ECI referral CH-343
evaluation CH-342
monitoring CH-343
outpatient rescreen CH-342
screening, statutory requirements CH-217
Newborn Screening CH-239
Newborn Screening Supplies CH-236
Nutritional Screening CH-228
O
Occupational therapy (OT)
School Health and Related Services (SHARS) CH-142, CH-143
Oral Evaluation and Fluoride Varnish in the Medical Home (OEFV) CH-240
Oral Health Screening CH-230
Oral surgery CH-184
Orthodontic services CH-194
mandatory prior authorization CH-208
procedure codes CH-199
special orthodontic appliances CH-199
Orthotic and prosthetic services
claim form example CH-293
Outpatient rehabilitation facility (ORF) CH-26
P
Parapodium CH-91
Parental accompaniment CH-157
statutory requirements CH-217
Personal care services CH-99
School Health and Related Services (SHARS) CH-143
Phototherapy devices
Comprehensive Care Program (CCP)
see Comprehensive Care Program (CCP)
Physical therapy (PT)
claim form examples (CCP only) CH-294
Physician services
School Health and Related Services (SHARS) CH-145
Prior authorization
Comprehensive Care Program (CCP) CH-17
forms
CCP ECI Request for Outpatient Therapy CH-249
CCP Prior Authorization Private Duty Nursing 6 Month Authorization CH-249
CCP Prior Authorization Request for Non-Face-to-Face Clinician-Directed Care Coordination Services CH-273
CCP Prior Authorization Request Form CH-248
Donor Human Milk Request Form CH-254
External Insulin Pump CH-255
Plan of Care
Home Health CH-256
Pulse Oximeter Form CH-264
Request for Extension of Outpatient Therapy (Form TP-2) CH-266
Request for Initial Outpatient Therapy (Form TP-1) CH-265
THSteps Dental Mandatory Prior Authorization Request Form CH-268
mandatory prior authorization (dental) CH-206
orthodontic services CH-208
THSteps and ICF-MR dental prior authorization CH-208
total in-home parental nutrition CH-67
Prior Authorization and Documentation Requirements CH-73
Private duty nursing
claim form examples (CCP only) CH-295
Procedure codes
orthodontic CH-199
THSteps dental CH-164, CH-165, CH-166
Prosthodontics
fixed CH-182
removable CH-175
Provider enrollment
Texas Health Steps (THSteps) CH-220
Pulse oximeter CH-42
Q
Quick Reference Guide
Texas Health Steps CH-346
R
Referrals
Case Management for Children and Pregnant Women (CPW) CH-218
family planning CH-219
genetic services CH-219
THSteps CH-218
THSteps dental CH-219
Registered nurse
additional THSteps educational requirements CH-221
Rehabilitation hospital
claim form example (inpatient - CCP only) CH-290
Rehabilitation hospital (freestanding) (CCP)
reimbursement CH-133
Reimbursement
dental CH-211
personal care services CH-106
School Health and Related Services (SHARS) CH-151
certification of funds CH-152
cost reconciliation and cost settlement CH-153
cost reporting CH-152
Reporting abuse and neglect, statutory requirements for CH-217
Required Laboratory Tests Related to Medical Checkup CH-238, CH-239
Root canal therapy CH-174
S
School Health and Related Services (SHARS)
claims filing
claim form examples CH-296
hearing services CH-137
personal care services CH-102
Send Comments CH-238
Sensory Screening CH-230, CH-231
Services/Benefits, and Limitations CH-69
Skin testing
tuberculosis CH-305
Special needs car seats CH-65
Speech therapy (ST)
School Health and Related Services (SHARS) CH-146
Speech-language pathology
claim form examples (CCP only) CH-297
Standing frame/brace CH-91
State requirements CH-336
early childhood intervention (ECI) CH-336
reporting abuse and neglect CH-337
Texas Health Steps (THSteps) CH-336
newborn blood screening CH-337
Statutory requirements
Early Childhood Intervention (ECI) CH-217
newborn screening CH-217
parental accompaniment CH-217
reporting abuse and neglect CH-217
teen confidentiality issues CH-217
Texas Health Steps (THSteps) CH-217
Syphilis Testing CH-239
T
Targeted Case Management with Face-to-Face Interaction Claims filing
claim form examples
Early Childhood Intervention (CCP Only) CH-288
Teen confidentiality issues, statutory requirements CH-217
Testing for Sexually Transmitted Diseases (STDs) CH-239, CH-240
Texas early hearing detection and intervention (TEHDI) CH-342
Texas Health Steps (THSteps) CH-216
administrative information CH-216
assistance contacts CH-245
claim forms CH-304
claims filing
claim form examples
THSteps medical checkup CH-298, CH-299
diagnosis and treatment claim form example CH-285
claims filing and reimbursement CH-242
communicable disease reporting CH-336
Comprehensive Care Program (CCP)
claim filing resources CH-243
dental
claim appeals CH-212
claims information CH-212
dental
orthodontic services
premature removal of appliances CH-197
dental checkup CH-155
documentation
general anesthesia CH-210
orthodontic services CH-210
emergency dental referrals CH-219
ICF-MR services CH-155
prior authorization
cone beam imaging CH-207
general anesthesia CH-207
referrals CH-218
reimbursement
billing after loss of eligibility CH-211
routine dental referrals CH-218
services CH-220
treatment facilities CH-155
dental guidelines CH-349
AAPD Periodicity Guidelines CH-350
documentation requirements CH-241
early hearing detection and intervention CH-342
ECI referral CH-343
forms CH-303
How to Determine Tuberculosis Risk CH-307
TVFC Patient Eligibility Screening Record CH-308
TVFC Patient Eligibility Screening Record (Spanish) CH-309
TVFC Provider Enrollment CH-310
TVFC Questions and Answers CH-313
hearing monitoring CH-343
immunizations
exemption for schools and child-care facilities CH-318
free vaccines CH-323
general recommendations CH-323
ImmTrac CH-325
recommended childhood schedule CH-319
immunizations overview CH-318
JCIH 2007 position statement CH-343
lead screening CH-327, CH-328
prevention education and forms CH-333
medical checkup
facilities CH-219
newborn blood screening CH-337
newborn hearing screening CH-339, CH-340
provider enrollment CH-220
Quick Reference Guide CH-345, CH-346
referrals CH-218
registered nurse
additional education requirements CH-221
reporting abuse and neglect CH-337
state legislative requirements CH-336
statutory requirements CH-217
statutory state requirements CH-335
tuberculosis
screening and education tool CH-305
tuberculosis skin testing CH-305
TVFC versus non-TVFC vaccines/toxoids CH-318
Texas immunization registry CH-325
Texas Vaccines for Children (TVFC) Program CH-217
Third Party Resources (TPR)
dental CH-211
THSteps
Services/Benefits, Limitations, and Prior Authorization
Acute Care Visits CH-225
Eligibility for a Medical Checkup CH-222
Exception-to-Periodicity Checkups CH-226
Follow-up Medical Checkup CH-226
Mandated Components CH-228, CH-230, CH-231, CH-233, CH-234, CH-236, CH-238, CH-239, CH-240
Medical Home CH-223
Newborn Examination CH-227
Non-Mandated Components CH-240
THSteps Medical Checkups CH-223
THSteps Medical Checkups Periodicity Schedule CH-227
Verification of Medical Checkups CH-222
Tooth identification (TID) number CH-162
Transportation services
School Health and Related Services (SHARS) CH-147
Travel restraints CH-65
Tuberculosis
How to Determine Tuberculosis Risk CH-307
screening and education tool CH-305
Tuberculosis (TB) Screening CH-230
Tuberculosis skin testing
Texas Health Steps (THSteps) CH-305
TVFC
see Texas Vaccines for Children
TVFC requirements CH-324
TVFC versus non-TVFC vaccines/toxoids CH-318
U
Utilization review
dental CH-211
V
Vaccine Adverse Event Reporting System (VAERS) CH-217, CH-318
Vaccine Information Statement (VIS) CH-234
Vaccines
TVFC CH-318
Vertical stander CH-92
Vestibuloplasty CH-185
Vision Screening CH-231

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