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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.
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