The Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit of Medicaid was designed to provide comprehensive and preventive health care services for children from birth through age 20. This program is key to making sure that our TennCare members receive the appropriate services for their age – whenever they’re needed. Covered services include:
Comprehensive health history
Comprehensive physical exam
Sometimes an EPSDT screenings may not be able to be completed in a single visit. If additional visits are necessary, please be sure to reschedule immediately, document the dates and the reason additional visits were needed. As a reminder, no prior authorization is required for TennCare Kids screenings. However, a referral to a specialist is required, if necessary, for the completion of the exam or the treatment of problems discovered during the exam and should be documented.
At UnitedHealthcare Community Plan, we are committed to providing an excellent health care experience for our members, and we are thankful that you, as a provider, are part of that experience.