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The EPSDT Program

Children and Adolescents Preventive Health Guidelines

Early and Periodic Screening, Diagnosis and Treatment (EPSDT) is a program for children and adolescents under the age of 21. The EPSDT program checks children for medical problems early and as they grow. These checkups help to make sure your child is growing up healthy. If the doctor finds a problem, it is treated and watched. These benefits are available to your child at no charge.

Children should get checkups regularly or before the ages listed below:

1 month	12 months	4 years
2 months	15 months	5 years
4 months	18 months	6 years
6 months	24 months	8 years
9 months	3 years	Every year from age 10-20

EPSDT checkups include:

• Medical history and physical exam.
• Growth and development checks (social, personal, language and motor skills).
• Vision screens.
• Hearing screens.
• Dental screens.
• Nutrition.
• Lab tests including blood lead level.
• Mental health and substance abuse.
• Immunizations (shots).
• Health education for parents.
• Referrals for diagnosis and/or treatment when needed.

Passport Health Plan's EPSDT staff works with you and your primary care provider (PCP). They want to make sure your child gets needed services at the right ages and times. Your child's PCP may find that a problem needs specialty care. Your PCP will direct you to a specialist.

Under the EPSDT program, some services not normally covered by Medicaid may be covered under the expanded EPSDT services. Passport Health Plan members will be covered for these expanded services that are medically necessary. KCHIP members are not eligible for expanded EPSDT benefits. KCHIP members receive a light purple Medicaid card.

Immunizations (shots)

Immunizations are shots that help the body fight disease. Children will receive immunizations (shots) during some of the EPSDT checkups. Children must have all the shots they need before they can start school. Check with your child’s PCP to be sure that your child has all the needed shots.

The following is the recommended childhood and adolescent immunization schedule.

It is important for children to have all of their EPSDT visits. If you need help or more information about the EPSDT program, call Member Services.

• EPSDT - Join the Screen Team (PDF)