Early and Periodic Screening, Diagnosis, and Treatment

Early and Periodic Screening, Diagnosis, and Treatment

The Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program is a federally mandated service which provides preventive and comprehensive health services for children from birth up to age 21 who are eligible for Medicaid. It provides critical services to improve the health of infants, children and adolescents. It provides a way for children to get medical exams, checkups, follow-up treatment, and special care they need to make sure they enjoy the benefits of good health.

EPSDT Services

With this program children can get free check-ups early on and access to mandatory periodic examinations and evaluations, which are helpful to assess, diagnose and treat your child’s health needs. Contact your Medicaid specialist, doctor or clinic that accepts Medicaid.

The EPSDT screening has many parts which must be documented in the medical record. They include:

• A comprehensive unclothed physical exam,
• Comprehensive beneficiary and family/medical history,
• Developmental history,
• Measurements, including, but not limited to length/height, weight, head circumference, body mass index (BMI) and blood pressure,
• Vision and hearing screenings,
• Developmental/behavioral assessment,
• Autism screening,
• Developmental surveillance,
• Psychosocial/behavioral assessment,
• Tobacco, alcohol and drug use assessment,
• Depression screening,
• Maternal depressing screening,
• Newborn Metabolic/hemoglobin screening,
• Vaccine administration, if indicated,
• Anemia screening,
• Lead screening and testing,
• Tuberculin test, if indicated,
• Dyslipidemia screening,
• Sexually transmitted infection,
• HIV testing,
• Cervical dysplasia screening,
• Dental assessment and counseling,
• Anticipatory guidance,
• Nutritional assessment,
• Supplemental Nutrition Assistant Program (SNAP) and Women, Infants and Children (WIC) status, and
• Next scheduled EPSDT screening appointment.

How often should an examination be done?

• 3-5 days,
• Birth to one month,
• Two months,
• Four months,
• Six months,
• Nine months,
• 12 months,
• 15 months,
• 18 months,
• 24 months,
• 30 months, and then,
• Once a year for ages 3-20 years old.

Where can an EPSDT examination be performed?

An EPSDT examination can be performed in an approved clinic listed below:

• Mississippi State Department of Health
• Public schools and/or public school districts certified by the Mississippi Department of Education
• Comprehensive Health Clinics
• Federally Qualified Health Clinics (FQHC)
• Rural Health Clinics (RHC)
• Physicians’ Offices

EPSDT Provider Enrollment Checklist

• EPSDT Requirement Checklist

EPSDT Forms

EPSDT Periodicity Examination Schedule

• EPSDT Periodicity Examination Schedule: effective April 1, 2022
• Bright Futures/American Academy of Pediatrics Periodicity Schedule

CMS 416: Annual EPSDT Participation Reports

• CMS 416: 2022 Annual EPSDT Participation Report
• CMS 416: 2021 Annual EPSDT Participation Report
• CMS 416: 2020 Annual EPSDT Participation Report
• CMS 416: 2019 Annual EPSDT Participation Report
• CMS 416: 2018 Annual EPSDT Participation Report
• CMS 416: 2017 Annual EPSDT Participation Report
• CMS 416: 2016 Annual EPSDT Participation Report
• CMS 416: 2015 Annual EPSDT Participation Report
• CMS 416: 2014 Annual EPSDT Participation Report

EPSDT Contacts

To learn more about the EPSDT or expanded EPSDT program, call:

Phone: 601-359-6150
Toll-free: 800-421-2408