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 preventive care checkups for Medicaid-eligible children at specified ages. Children are checked for medical problems early and indicated tests and treatments are recommended as children grow older.
The areas of health checked include preventive check-ups; growth and development assessments; vision; hearing; teeth; immunizations; and laboratory tests.
Children should receive health checkups 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 it at:
If your child has Medicaid and you need assistance with transportation or for more information, call (800) 635-2570.
Eligibility
Any Medicaid-eligible child can receive 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 be provided only to individuals younger than 21.
Services may be provided through the last day of the month in which the individual turns 21. For example, if someone enrolled in EPSDT special services turns 21 on March 16, he or she may continue to receive EPSDT special services through March 31 (if still eligible for Medicaid.)
If you have questions, please contact
Member Services at
800 635-2570.