Early and Periodic Screening, Diagnostic and Treatment provides comprehensive and preventive healthcare services to Medicaid eligible children under age 21. These services are federally mandated and intended to address their physical, mental and developmental health. Well child visits are the core of EPSDT and the goal is to discover and treat childhood health conditions before they become serious or disabling.
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Early and Periodic Screening, Diagnostic and Treatment
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EPSDT definition and resources
The EPSDT program is a federally mandated program ensuring access to comprehensive health care to Medicaid recipients from birth to 21 years of age. EPSDT is defined as:
- Early: Assessing health care early in life so that potential disease and disabilities can be prevented or detected in their preliminary stages, when they are most effectively treated.
- Periodic: Assessing a child’s health at regular recommended intervals in the child’s life to assure continued healthy development.
- Screening: The use of tests and procedures to determine if children being examined have conditions warranting closer medical or dental attention.
- Diagnostic: The determination of the nature or cause of conditions identified by the screening.
- Treatment: The provision of services needed to control, correct or lessen health problems.
Resources
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Electronic visit verification for EPSDT personal care services
It’s mandatory to use the electronic visit verification system for EPSDT personal care services. EVV is a telephonic or other technology-based system that monitors member receipt and utilization of EPSDT personal care services. All claims for EPSDT personal care services must be submitted through the EVV system.
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School-based health centers
School-based health centers are health clinics located on or near schools that function independently but collaboratively with schools. The centers offer health care services to students, including physical and behavioral health services.
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