---
kind: "section"
citation: "42 C.F.R. § 457.520"
title: "42"
number: "457.520"
heading: "Cost sharing for well-baby and well-child care services."
url: "https://uscodex.org/cfr/42/457.520"
---

# §457.520. Cost sharing for well-baby and well-child care services.

- (a) A State may not impose copayments, deductibles, coinsurance or other cost sharing with respect to the well-baby and well-child care services covered under the State plan in either the managed care delivery setting or the fee-for-service delivery setting.
- (b) For the purposes of this subpart, at a minimum, any of the following services covered under the State plan will be considered well-baby and well-child care services:
  - (1) All healthy newborn physician visits, including routine screening, whether provided on an inpatient or outpatient basis.
  - (2) Routine physical examinations as recommended and updated by the American Academy of Pediatrics (AAP) “Guidelines for Health Supervision III” and described in “Bright Futures: Guidelines for Health Supervision of Infants, Children and Adolescents.”
  - (3) Laboratory tests associated with the well-baby and well-child routine physical examinations as described in [paragraph (b)(2)](#b-2) of this section.
  - (4) Immunizations and related office visits as recommended and updated by the Advisory Committee on Immunization Practices (ACIP).
  - (5) Routine preventive and diagnostic dental services (such as oral examinations, prophylaxis and topical fluoride applications, sealants, and x-rays) as described in the most recent guidelines issued by the American Academy of Pediatric Dentistry (AAPD).

## Notes

### Source

Source: 66 FR 2681, Jan. 11, 2001, unless otherwise noted.

### Authority

Authority: 42 U.S.C. 1302.

### Source

Source: 65 FR 33622, May 24, 2000, unless otherwise noted.