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The Child and Family Services Agency (CFSA) established the Healthy Horizons Program which includes the Healthy Horizons Assessment Center (HHAC) and the Nurse Care Management Program (NCMP). These programs are housed in the Office of Well Being's Health Service Administration. The Healthy Horizons Assessment Center is staffed by licensed certified nurse practitioners and certified medical assistants, that provide health screenings for children and youth (birth-21 years) entering, re-entering, exiting and changing placements while in foster care. The goal is to provide health screenings in one location by experienced child welfare clinicians in a timely manner in alignment with best practice standards. The HHAC monthly mean for pre-placement screenings is 25 which are defined as an unclothed physical exam before entering a new placement; monthly mean for comprehensive physical examinations is 17 defined as an Early Perio...