Service Category	Definition
Dental Care Services
Dental Care      Preventive      Restorative      Emergency	Provision by a dentist or dental hygienist of the listed services. Preventive dental care includes cleaning, prophylaxis, sealants, and fluoride treatments.
Enabling Services
Case Management	Client-centered service that links clients with health care and psychosocial services to insure timely, coordinated access to medically appropriate levels of health and support services and continuity of care. Key activities include: 1) assessment of the client's needs and personal support systems; 2) development of a comprehensive, individualized service plan; 3) coordination of services required to implement the plan; client monitoring to assess the efficacy of the plan; and 4) periodic re-evaluation and adaptation of the plan as necessary. Includes risk assessment, eligibility assistance, coordination and referral, follow-up and tracking, and documentation.
Child Care	Assistance in caring for a user's young children during medical and other health care visits.
Discharge Planning	Case management-type services related to an individual's discharge from the hospital.
Eligibility Assistance	Assistance in securing access to available health, social service and other assistance programs, including Medicaid, WIC, SSI, Food Stamps, AFDC, and related assistance programs. Includes outstationed eligibility workers.
Employment/Educational Counseling	Counseling services to assist an individual in defining career/employment/educational interests, and in identifying employment opportunities and/or educational options.
Environmental Health Risk Reduction	Includes the detection and alleviation of unhealthful conditions associated with water supplies, sewage treatment, solid waste disposal, rodent and parasitic infestation, field sanitation, housing, and other environmental factors related to health (e.g., lead paint testing and abatement and pesticide management).
Food Bank/Delivered Meals	Provision of actual food or meals/not finances to purchase food or meals.
Health Education	Personal assistance provided to promote knowledge regarding health and healthy behaviors, including knowledge concerning sexually transmitted diseases, family planning, prevention of fetal lcohol syndrome, smoking cessation, reduction in misuse of alcohol and drugs, improvement in physical fitness, control of stress, nutrition, and others. Included are services provided to the client's family and/or friends by non-licensed mental health staff which may include psychosocial, caregiver support, bereavement counseling, drop-in counseling, and other support groups activities.
Housing Assistance	Assistance in locating and obtaining suitable shelter, either temporary or permanent. May include locating costs, moving costs, and/or rent subsidies.
Interpretation/Translation Services	Services to assist individuals with language/communicztion barriers in obtaining and understanding needed services.
Nursing Home and Assisted-Living Placement	Assistance in locating and obtaining nursing home and assisted-living placements.
Outreach	Case finding, education or other services to identify potential clients and/or facilitate access/referral of clients to available services.
Transportation	Transportation provided by the grantee for users.
Mental Health/Substance Abuse Treatment
Mental Health Treatment/Counseling Developmental Screening 24-hour Crisis Intervention/Counseling	Mental health therapy, counseling, or other treatment provided by a mental health professional.
Substance Abuse Treatment/Counseling	Includes treatment for abuse of alcohol and/or other drugs. Counseling and other medical and/or psychosocial treatment services provided to individuals with substance abuse problems. May include screening and diagnosis, detoxification, individual and group counseling, self-help support groups, alcohol and drug education, rehabilitation, remedial education and vocational training services, and aftercare. Occupational or Vocational Therapy.
Obstetrical & Gynecological Care
Gynecological Care	Gynecological services provided by a nurse, nurse practitioner, nurse midwife or physician, including annual pelvic exams and pap smears, follow-up of abnormal findings, and diagnosis and treatment of sexually transmitted diseases. This category does not include family planning services.
Obstetrical Care      Prenatal care      Antepartum fetal assessment      Ultrasound      Genetic counseling and testing      Amniocentesis      Labor and delivery professional care      Postpartum care	Provision of listed services related to pregnancy, delivery and postpartum care.
Other Professional Services
Hearing Screening	Diagnostic services to identify potential hearing problems.
Nutrition Services other than WIC	Advice and consultation appropriate to individual health needs.
Occupational or Vocational Therapy	Therapy designed to improve or maintain an individual's employment/career skills and involvement.
Physical Therapy	Assistance designed to improve or maintain an individual's physical capabilities.
Pharmacy	Dispensing of prescription drgus and other pharmaceutical products.
Primary Medical Care Services
Diagnostic Laboratory (technical component)	Technical component of laboratory procedures. Does not include services of a physician to order or to analyze/ interpret results.
X-ray Procedures (technical component)	Technical component of diagnostic X-ray procedures. Does not include services of a physician to order or to analyze/ interpret results from these procedures.
Diagnostic Tests/Screenings (professional component)	Professional services to order and analyze/intepret results from diagnostic tests and screenings.
Emergency Medical Services	Provision of emergency services on a regular basis to meet life, limb or function-threatening conditions. Nearly all centers will provide EMS via referral arrangements.
Urgent Medical Care	Provision of medical care of an urgent or immediate nature on a routine or regular basis. This category is included because a number of centers are beginning to provide urgent care services directly and BPHC would like to define this universe.
24-Hour Coverage	The availability of services on a 24-hour basis.
Family Planning Services (Contraceptive Management)	Provision of contraceptive/birth control or infertility treatment. Counseling and education by providers are included here; when provided by other staff include under enabling services.
HIV Testing	Testing for HIV. Counseling and education by providers included here; when provided by other staff include under enabling services.
Immunizations	Provision of preventive vaccines. Provision of specific vaccines listed:      Diptheria, Tetanus, Pertussis      Poliovirus      Measles, Mumps, Rubella      Hemophilus influenza B      Hepatitis B      Influenza virus.
Following hospitalized patients	Contacts with health center patients during hospitalizations.
Specialty Medical Care
Directly Observed TB therapy	Delivery of therapeutic TB medication under direct observation of center staff.
Other Specialty Care	Services provided by medical professionals trained in any of the following specialty areas listed:      Allergy      Dermatology      Gastroenterology      General Surgery      Neurology      Optometry/Ophthalmology      Otolaryngology      Pediatric Specialties      Radiology      Psychiatry      Anesthesiology.