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What is EPSDT?

What is EPSDT?

The Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) is a federal benefit which allows your child to have services that: keep them healthy; identify signs of poor health; find the causes of poor health; and get treatment for those causes.  It is available to Medicaid members from birth up to twenty-one (21) years of age and PeachCare for Kids members from birth, up to nineteen (19) years of age.

Parents of children eligible for the EPSDT benefit, which is also known as Health Checks, need to take their children to their personal doctor regularly.  These checkups begin right after birth and continue as your child grows.

More checkups are needed during the first year of life than at any other time.  This is because your child is growing and changing so much during their first year of life.

Starting from three years old, take your child for regular checkups every year.  A good way to remember the checkups each year is to schedule the checkup during your child’s birthday month.  Think about this checkup as a birthday gift to your child.  If your child’s doctor finds a problem, the EPSDT benefit allows for tests and treatments to fix the problem.

 

Recommended Ages for Health Check Preventive Visits

Your child should have a checkup with their doctor:

  • Before they leave the hospital after being born. They should get their first shots while still in the hospital.
  • Right after you get home from the doctor when your baby is 3 – 5 days old. Your doctor needs to see how you and your baby are doing now that you are at home.
  • Just before your baby is 1 month old.
  • When your baby turns 2 months old. Your baby will get shots at this visit.
  • When your baby turns 4 months old. Your baby will get shots at this visit.
  • When your baby is 6 months old. Your baby will get shots at this visit too.
  • At 9 months old. Your doctor will check your baby to see if she/he is growing up properly.
  • At 12 months old. The doctor will check your baby’s blood to make sure she/he hasn’t eaten anything with lead in it.  Lead tastes sweet and can cause health problems.
  • At 15 and 18 months. Shots and another check to make sure your baby is growing up properly at the 18 month visit.
  • At 24 months. Your child’s blood is checked again for lead.
  • At 30 months. The third check to make sure your child is growing up properly.
  • Every year starting at age 3 through age 20.
  • Shots and other care may be given at any of these visits.

 

Where and How Can Your Child Participate in EPSDT?

Call 1-866-211-0950 if you need help finding a doctor, a health clinic, a dentist or arranging a ride to your appointment.

 

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