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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,
  • Adolescent counseling and risk factor 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,
  • Alcohol and drug use assessment,
  • Depression screening,
  • Newborn Metabolic/hemoglobin screening,
  • Vaccine administration, if indicated,
  • Hematocrit and/or Hemoglobin,
  • Lead screening and testing,
  • Tuberculin test, if indicated,
  • Dyslipidemia screening,
  • Sexually transmitted infection/disease screening,
  • Cervical dysplasia screening,
  • Dental assessment and counseling,
  • Anticipatory guidance,
  • Nutritional assessment,
  • Supplemental Nutrition Assistant Program (SNAP) and Women, Infants and Children (WIC) status, and
  • Adolescent counseling.

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 3-21 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

Expanded Mississippi Early and Periodic Screening and Diagnostic Treatment (EPSDT)

Expanded EPSDT services for eligible beneficiaries that are found during an EPSDT exam and are deemed medically necessary by a Medical Review Team within the Utilization Management and Quality Improvement Organization (UM/QIO). The EPSDT program was expanded in the Omnibus Budget Reconciliation Act of 1989 to allow for additional services to be offered such as:

  • adolescent counseling services
  • additional treatments and services that may be needed (such as additional office visits, prescriptions and therapy services)
  • inpatient hospital
  • outpatient hospital services
  • physician services
  • dental services
  • home health services
  • durable medical equipment/prosthetics
  • Private Duty Nursing
  • therapy services (physical, occupational, speech, hearing and language)
  • prescription drugs
  • podiatry services
  • optometry services
  • eyeglasses/Contacts
  • hearing services
  • mental health services

EPSDT Forms

Title File Name Caption Date
Blood Lead Poisoning Screening Summary Blood_Lead_Poisoning_Summary.pdf April 15, 2014 9:06 pm
Early Periodic Screening, Diagnosis, and Treatment (EPSDT) Program Provider Agreement Form CoolKids-Provider-Agreement.pdf April 15, 2014 9:06 pm
Adolescent Counseling Adolescent-Counseling.pdf April 15, 2014 9:06 pm
3-5 Days EPSDT Visit Form 3-5-Days-EPSDT-Visit-Form.pdf August 12, 2016 3:08 pm
0-9 Months EPSDT Visit Form 0-9-Months-EPSDT-Visit-Form.pdf August 12, 2016 3:09 pm
1-4-Years-EPSDT-Visit-Form 1-4-Years-EPSDT-Visit-Form.pdf August 12, 2016 3:10 pm
5-10-Years-EPSDT-Visit-Form 5-10-Years-EPSDT-Visit-Form.pdf August 12, 2016 3:11 pm
11-21-Years-EPSDT-Visit-Form 11-21-Years-EPSDT-Visit-Form.pdf August 12, 2016 3:11 pm

EPSDT Periodicity Examination Schedule

EPSDT Periodicity Examination Schedule effective November 1, 2015

EPSDT Contacts

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

Phone: (601) 359-6150
Toll-free: 1-800-421-2408