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Early and Periodic Screening, Diagnosis and Treatment (EPSDT)

Program Overview

The Early Periodic Screening, Diagnosis and Treatment (EPSDT) program combines screening, diagnostic and treatment services to Medicaid-eligible individuals from birth to age 21. These services give children early access to preventive and comprehensive health care to help prevent disease and/or detect disabilities in their early stages, when they are more effectively treated.

References:

AAP “Bright Futures” Recommendations and Content of Complete Encounters for Periodic Screening

EPSDT Overview

Medical Necessity Requirements of Federal EPSDT Law, Including Details of Meeting EPSDT Criteria When Submitting Prior Approval Requests

Dental Education and Outreach

Behavioral Health and Developmental Screening

        Behavioral Health Screenings

        Developmental Screenings

Early Intervention, Care Coordination, and other State and Community Services