Healthy Kids Check – Fact Sheet

This fact sheet must be read in conjunction with the item descriptors and explanatory notes for items 701, 703, 705 and 707 (as set out in the Medicare Benefits Schedule).

Page last updated: 28 April 2014

Printable version of fact sheet (PDF 160 KB)

The Healthy Kids Check may be completed under MBS Items 701 (brief), 703 (standard), 705 (long) or 707 (prolonged), depending on the length of the consultation as determined by the complexity of the patient’s presentation.

This fact sheet applies to a Healthy Kids Check provided by a medical practitioner. If a practice nurse or Aboriginal and Torres Strait Islander health practitioner undertakes the Healthy Kids Check on behalf of a medical practitioner, MBS item 10986 may be claimed (refer to the Fact Sheet for Item 10986).

The aim of the Healthy Kids Check is to improve the health and well-being of Australian children. The Healthy Kids Check promotes early detection of lifestyle risk factors, delayed development and illness, and provides the opportunity to introduce guidance for healthy lifestyles and early intervention strategies.

The Healthy Kids Check is to be delivered in conjunction with the four year old immunisation. In some states and territories, the four year old immunisation may be provided at an earlier or later age. Children receiving this earlier or later immunisation will be eligible for the Healthy Kids Check if they are over the age of three years and under the age of five years.

Components of the Healthy Kids Check

The Healthy Kids Check is an assessment of a child’s physical health, general well-being and development, with the purpose of initiating medical interventions as appropriate. It must include:
  • information collection, including taking a patient history and undertaking or arranging examinations and investigations as required;
  • making an overall assessment of the child;
  • recommending appropriate interventions;
  • providing advice and information to the child’s parent(s) or carer;
  • keeping a record of the health assessment, and offering the child’s parent(s) or carer a written report about the health assessment, with recommendations about matters covered by the health assessment; and
  • updating any relevant records, such as a parent-held child health record.
 Examinations and assessments must include:
  • height and weight (plot and interpret growth curve and calculate BMI);
  • eyesight;
  • hearing;
  • oral health (teeth and gums);
  • toileting; and
  • allergies
An Aboriginal and Torres Strait Islander health practitioner or practice nurse can assist the medical practitioner in the information collection stage of the Healthy Kids Check and by providing the child’s parent(s) or carer with information about any recommended interventions, at the direction of the medical practitioner.

The Healthy Kids Check must include the provision of health advice and information to the patient’s parent or carer, using the Get Set 4 Life – Habits for Healthy Kids Guide and other relevant information such as a parent-held child record.

The practice nurse or Aboriginal and Torres Strait Islander health practitioner must note if the patient’s parent(s) or carer has been referred to the Get Set 4 Life – Habits for Healthy Kids Guide on the Department of Health website, noting that hard copies are no longer available.

The practice nurse or Aboriginal and Torres Strait Islander health practitioner must also record evidence that the immunisation for a four year old has been provided.

Restrictions on providing the Healthy Kids Check

The Healthy Kids Check may only be claimed by a medical practitioner (including a general practitioner but not including a specialist or consultant physician).

The Healthy Kids Check may only be provided once to an eligible child, and only if he or she has not already received MBS Item 10986 (Healthy Kids Check provided by a practice nurse or Aboriginal and Torres Strait Islander health practitioner). A Medicare rebate is payable only after both the assessment has been undertaken and four year old immunisation delivered.

Medical practitioners should not conduct a separate consultation in conjunction with a Healthy Kids Check unless it is a consultation associated with the four year old immunisation or it is clinically necessary (ie. the patient has an acute problem that needs to be managed separately from the assessment).

In circumstances where a parent/guardian chooses not to immunise their child, the Healthy Kids Check cannot be provided as a service for which an MBS rebate may be claimed. A medical practitioner may choose to provide a service that mirrors the Healthy Kids Check, but that service would not be regarded as a Healthy Kids Check for the purpose of Medicare billing.

MBS Item 10988 (immunisation provided by an Aboriginal and Torres Strait Islander health practitioner) can be claimed in conjunction with the Health Kids Check.

MBS Items 10990 or 10991 (bulk billing incentives) can be also be claimed in conjunction with the Healthy Kids Check.

Further information

For more detailed information about item descriptors and explanatory notes visit MBS Online.

For more general information about the MBS items visit the Department of Health website or phone the Department of Human Services (Medicare) provider enquiry line on 132 150 or patient enquiry line on 132 011.

Medical practitioners are encouraged to utilise relevant online guidelines and resources, such as:

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