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Early and Periodic Screening, Diagnosis and Treatment (EPSDT)
Children's Medicaid Benefit
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Frequently Asked Questions
What is the EPSDT Program?
- EPSDT is a health care benefit package for all Medicaid enrolled children ages 20 and under and all pregnant women.
How much do medical services cost?
- Services for children ages 18 and under are free
- Adults ages 19-20 may have to pay a small co-pay unless they are enrolled in a Medicaid managed care organization (MCO)
What services are available?
- All Medicaid benefits and dental benefits, hearing aids and limited orthodontia
- Case management services with an EPSDT Outreach Coordinator in your community to help you: EPSDT Outreach Coordinator
- Locate providers that accept Medicaid
- Obtain non-emergency medical transportation
- Childcare
- Food or shelter
- Part C
- Head Start
- The Women, Infants and Children (WIC) program
- The Health Care Program for Children with Special Needs (HCP) program
What is an EPSDT Coordinator?
- An EPSDT Outreach Coordinator is a person that can help the client navigate the Medicaid system as well as non Medicaid community systems.
What is Medical Home?
- Medical Home
- Article - "Medical Homes" hospitable option in Colorado, elsewhere - Denver Post August 13, 2009