Early and Periodic Screening, Diagnostic and Treatment (EPSDT)
Get the Well-Child Care Your Child Needs!
EPSDT is a program for children ages birth through twenty who qualify for Medicaid. It provides preventative medical and dental care for children enrolled in Medicaid. Medicaid ensures that each child has access to necessary check-ups.
Benefits include preventative physicals, hearing and vision screenings, mental health care, as well as access to all necessary immunizations. If there are additional medical concerns, EPSDT works with the doctor to ensure the child is given appropriate and necessary care. EPSDT dental provides preventive care. This includes two dental examinations per year, x-rays, sealants, fluoride and necessary restoration work.
Your child should visit the doctor for well-child health care because their growing bodies are changing so quickly. Well-child visits allow the doctor to check your child’s growth and development. If there is a problem, the doctor can find it before it becomes more serious. The doctor can tell you about what to expect and answer questions about your child’s health. Your doctor can also give you advice on health and safety issues. Well-child care is important for you and your child.
The EPSDT program will help you get the well-child care your child needs. You will be contacted when you child is due for a well-child visit. You may receive a telephone call or information in the mail. You can get help scheduling and getting to the appointment. You will also be contacted if the doctor says your child needs additional care.
If your doctor feels your child needs extra care, your child may receive the care even if it is not a Medicaid benefit. Any added care your child needs that is medically necessary can be covered by Medicaid through the EPSDT program.
|Children ages 19-20 on Non-Traditional Medicaid do not qualify for EPSDT benefits.
More information is available in the EPSDT Manual.