Medicaid for Children: Early and Periodic Screening, Diagnosis, and Treatment (EPSDT)

Fact Sheet

Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) is Medicaid’s comprehensive and preventive child health program for individuals under age 21.

What is EPSDT?

Who is eligible for EPSDT?

All Medicaid-eligible children under the age of 21 qualify for EPSDT. For information about who is eligible for Medicaid, contact the SC Department of Health and Human Services at (888) 549-0820 or

What services does EPSDT cover?

EPSDT must include screening, diagnostic services, treatment, and education. More information is available from the United States Department of Health and Human Services,

Medical Screening Services:


If screening services indicate there is a need for a more complete evaluation of the child’s health or some specific condition, that evaluation and diagnosis should be provided without delay.


Health Education:

A child’s individual needs should determine what care the child receives:

To appeal the denial of services, you must send a letter to the following address within 30 days of the decision:

Department of Health and Human Services

Attn: Division of Appeals and Hearings
Post Office Box 8206
Columbia, South Carolina 29202-8206
Their toll-free number is 1-800-763-9087.

EPSDT services have some restrictions:

Getting EPSDT Services:

If you need additional information, please contact P&A at
1-866-275-7273 (voice) or 1-866-232-4525 (TTY)

This publication provides legal information, but is not intended to be legal advice. The information was based on the law at the time it was written. As the law may change, please contact P&A for updates.

This publication is funded by the U.S. Department of Health and Human Services (Administration on Intellectual and Developmental Disabilities; Substance Abuse and Mental Health Services Administration; and Health Resources and Services Administration) and the U.S. Department of Education (Rehabilitation Services Administration). It does not necessarily represent the official views of the funding authorities.

P&A does not discriminate on the basis of disability, race, color, creed, national origin, ethnicity, ancestry, citizenship, age, religion, sex or sexual orientation, veteran status or any other class protected by law in the provision of its programs or services. Pete Cantrell is P&A’s designated coordinator for Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act. MEDICAID–Fact Sheets October 2014

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