Early and Periodic Screening, Diagnosis, and Treatment

The Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit provides comprehensive and preventive health care services for children under age 21 who are enrolled in Medicaid. EPSDT is key to ensuring that children and adolescents receive appropriate preventive, dental, mental health, and developmental, and specialty services.

  • Early: Assessing and identifying problems early
  • Periodic: Checking children’s health at periodic, age-appropriate intervals
  • Screening: Providing physical, mental, developmental, dental, hearing, vision, and other screening tests to detect potential problems
  • Diagnostic: Performing diagnostic tests to follow up when a risk is identified, and
  • Treatment: Control, correct or reduce health problems found.

EPSDT Services

States are required to provide comprehensive services and furnish all Medicaid coverable, appropriate, and medically necessary services needed to correct and ameliorate health conditions, based on certain federal guidelines. EPSDT is made up of the following screening, diagnostic, and treatment services.

Who is covered?

  • Children under the age of 21 who receive Medicaid or have a Medicaid Waiver
  • FAMIS children who are not enrolled with a Managed Care Organization (MCO)
  • Children in foster care and some adopted children with disabilities
  • Address: Department of Medial Assistance Services (DMAS)
  • State: Virginia
  • Contact: Department of Medial Assistance Services (DMAS)
  • Phone: 804-786-6134
  • Web site: https://mchb.hrsa.gov/epsdt/
  • Additional subcategories: State Resources