Preventive care and treatment for members under 21
Early and Periodic Screening, Diagnosis, and Treatment
Special screening, preventive care, and treatment
from birth to age 21
Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) is a set of preventive services and medically-necessary treatment available for free from OHP to members from birth to age 21. These services can detect health issues early and reduce the risk of illness, disability, or care needed. EPSDT covers care, treatment, and other measures to correct or help any conditions discovered. In addition, EPSDT includes health guidance and education for parents and children.
Screenings
Includes screenings for:
- Physical health
- Emotional health
- Growth and development
- Dental health (timing and types of services)
- Nutritional health
- Lead poisoning
- Hearing and vision
- Blood tests for things like anemia and sickle cell disease
- Recommended immunizations (shots)
- Other conditions, depending on medical need
Referrals and treatment
Your primary care provider may refer you to another provider if they find a physical, mental health, substance abuse, or dental condition. The provider you are referred to will help with more diagnosis and treatment.
PacificSource Community Solutions will give referral help to members or their representatives for social services, education programs, nutrition assistance programs (e.g., SNAP), and other services not covered by EPSDT.
Getting EPSDT services
OHP provides coverage to eligible EPSDT members for regularly scheduled examinations and evaluations. Ask your primary care provider or dentist about EPSDT services and find additional details by searching for “EPSDT” in your member handbook. For help getting EPSDT services, call our Customer Service team.
800-431-4135, TTY: 711. We accept all relay calls.