1 EPSDT Early & Periodic Screening, Diagnosis, & Treatment Medicaid’s comprehensive & preventive health program for children under 21 Provides screening.

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Early Periodic Screening, Diagnosis and Treatment (EPSDT)
Presentation transcript:

1 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

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

3 EPSDT screening Health and developmental history, including mental health Comprehensive physical exam Appropriate immunizations Laboratory tests Health education

4 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

5 EPSDT - 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

6 EPSDT - lead poisoning prevention 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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