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EPSDT and Priority Partners
The Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Program is a federal requirement that mandates States to cover certain benefits for Medicaid recipients from birth up to age 21.. In Maryland, the preventive care component of the EPSDT Program is known as the Healthy Kids Program. The preventive health care services allow for early identification and treatment of health problems before they become medically complex and costly to treat. Please note that Medicaid’s mandates through the EPSDT Program are different than non-Medicaid health plan requirements for childhood care.
Priority Partners would like to remind providers that parents rely on you to direct their child’s care and ensure they receive all of the services they need. By understanding the EPSDT schedule and preventive requirements, you can help our members grow and develop into healthy adults.
We would especially like to remind you about lead testing and well-care visits. Every child in Maryland (not just those in high-risk areas or older homes) must be tested for lead poisoning in the year that they turn one. Also, as children age into adolescence, the attendance of well-care visits decreases. It is important to encourage your patients to continue their yearly well-care visits.
More EPSDT Information:
- American Academy of Pediatrics’ Bright Futures Schedule
- Department of Health and Mental Hygiene (DHMH) EPSDT Healthy Kids Program - Additional EPSDT Healthy Kids Program resources can be found on the left hand side of the program’s home page.