Early and Periodic Screening, Diagnostic, and Treatment (EPSDT)
What is EPSDT?
Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) is a Medicaid benefit for children and teens under age 21. It makes sure children get the health care they need when they need it, whether it’s a routine checkup, a screening, or treatment for a health concern.
What services are included?
EPSDT covers routine and preventive care to help your child grow up healthy. This includes:
- Well-child checkups and physical exams
- Vision and hearing tests
- Dental checkups and cleanings (starting at age one)
- Mental health care
- Lab tests
- Lead testing
- Health education
- Immunizations
Why are these checkups important?
Regular checkups help make sure children and teens are growing and developing well. They also allow your child’s doctor to catch any health concerns early and provide treatment.
What if my child needs extra care?
If your child’s doctor decides they need special tests or treatment, even if Medicaid does not usually cover those services, they can still be covered if the care is considered medically necessary. For services not usually covered, your child’s doctor can request approval. Families in managed care plans should contact their plan directly for help.
More Information
To learn more about the EPSDT program, call the Utah County Health Department at 801-851-7033.
If your child qualifies for the EPSDT program, you may receive a phone call to confirm your child’s most recent wellness visit.
Do you have a child under the age of 8?
Families with children under 8 years old can receive free, short-term home visits from nurses. These visits include health screenings, care coordination, and referrals to help meet the needs of your child and family.
For more information, call 801-851-7026 or visit the Home Visitation Programs page.
Find a Medicaid Provider
Need help finding a Medicaid provider or doctor? Visit the Medicaid Provider Directory to find a doctor or doctor’s office near you.