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​Early and Periodic Screening, Diagnosis and Treatment (EPSDT) is a federally mandated Medicaid program for children. In Kentucky, it is divided into two components: EPSDT screenings (see below) and EPSDT special services.

The EPSDT screening component provides routine physicals or well-child check ups for Medicaid eligible children at certain specified ages. It is considered preventive care. Children are checked for medical problems early. Specific tests and treatments are recommended as children grow older.

The areas of health care that are checked include: preventive check-ups; growth and development assessments; vision; hearing; teeth; immunizations; and laboratory tests.

Children should receive health check-ups regularly or before the following ages: 1 month; 2 months; 4 months; 6 months; 9 months; 12 months; 15 months; 18 months; 24 months; 30 months; 3 years; 4 years; 5 years; 6 years; 8 years; and once a year for ages 6-20.

For more information, refer to the American Academy of Pediatrics Periodicity Schedule.

If your child is enrolled with a managed care organization, you may contact them at:

If your child has Medicaid and you need assistance with transportation, or for more information, contact (800) 635-2570.

Eligibility

Any Medicaid eligible child is eligible for EPSDT screenings. Additionally, any Medicaid eligible child may receive EPSDT special services as long as the services are medically necessary and not covered in another Medicaid program area.

EPSDT special services may only be provided to individuals under age 21.

Services may be provided through the last day of the month in which the individual turns 21. For example, if someoneEPSDT special services turns 21 on March 16, he or she may continue to receive EPSDT special services through March 31 (if are still eligible for Medicaid.)

If you questions, please contact Member Services  at 800 635-2570.