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Early and Periodic Screening, Diagnosis and Treatment (EPSDT)

Children's Medicaid Benefit

 

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Providers

Parents

Resources

 

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.

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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)

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What services are available?

 

  • All Medicaid benefits and dental benefits, hearing aids and limited orthodontia

  • Case management services with a Family Health Coordinator in your community to help you:  Healthy Communities Outreach and Case Management Locations 

  • 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

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What is a Family Health Coordinator?

  • A Family Health Coordinator is a person that can help the client navigate the Medicaid system as well as non Medicaid community systems.

 

Healthy Communities Fact Sheet

 

What is Medical Home?

 

Contact Information

 

Information on What Other States are Doing

 

Innovations in EPSDT in 2010