EPSDT
Early & Periodic Screening, Diagnosis, & Treatment

Medicaid’s comprehensive & preventive health program for children under 21

Provides screening & services at medically-appropriate intervals

Provides medically necessary health care services even if the service is not available under State’s Medicaid plan

States must inform all Medicaid-eligible persons under 21 that EPSDT is available

Health and developmental history, including mental health

Comprehensive physical exam

Appropriate immunizations

Laboratory tests

Health education

EPSDT additional screening
(minimal requirements)

Vision: diagnosis/treatment for vision defects, including eyeglasses

Dental: maintenance of dental health, relief of pain/infections, restoration of teeth

Hearing: diagnosis/treatment for defects in hearing, including hearing aids

Diagnosis: if screening indicates need for further evaluation, referral and follow-up

Treatment: health care must be made available to treat/correct/ameliorate physical, developmental, or mental health conditions discovered during screening

Required component of screening

All children at 12 and 24 months

Children over 24 months if no record of previous test

Medically-necessary diagnostic and treatment services must be provided to child with elevated blood lead level

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