Early Periodic Screening, Diagnosis and Treatment (EPSDT)
Medicaid for Children

EPSDT is a Medicaid program for children under the age of 21. Under EPSDT, a wide range of comprehensive and preventive health care services are available to children. Many parents are not aware of the services available under EPSDT, so it is a underutilized program. Services that states must provide under EPSDT include: Screening, immunizations, lab tests for lead toxicity, health education, vision, hearing, and dental services, and other necessary health care, diagnosis, services, and treatment to "correct or ameliorate defects, and physical and mental illnesses and conditions discovered by the screening services."

More information:

DRC Brochure: Area Agencies and the 3-21 Year Old: What Developmental Services Are Available?

Requesting Medicaid Coverage for Autism Services under EPSDT, article by DRC attorney Rebecca Whitley in the winter 2015 issue of the RAP Sheet

Medicaid's special coverage for children and young adults, article by DRC attorney Karen Rosenberg in the spring/summer 2014 issue of the RAP Sheet

Information about EPSDT and Medicaid, from the Centers for Medicare and Medicaid Services

From HRSA: EPSDT and Title V Collaboration to Improve Child Health

EPSDT information from the National Center for Education in Maternal and Child Health

The Federal Rules: 42 CFR Part 441, Subpart B - Early Periodic Screening, Diagnosis and Treatment (EPSDT) of Individuals under age 21.

 

 

updated July 20, 2017