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Public Health and Environment Division


Early Periodic Screening, Diagnosis and Treatment (EPSDT)

The Early Periodic Screening, Diagnosis, and Treatment (EPSDT) Program is the child health component of Medicaid.  It is required in every state and is designed to improve the health of low-income children by enhancing access and appropriate utilization of primary and preventive health care for Medicaid-eligible families and children. EPSDT is designed to address physical, mental, developmental health needs, vision and dental needs. 

The EPSDT Program offers outreach and case management services if you are pregnant or have children under 20 who qualify for Medicaid.

The Outreach Coordinator can help you get the most out of your Medicaid benefits by helping you:

  • Understand the Medicaid program and benefits.

  • Find doctors, specialists, and schedule appointments.

  • Understand the role of primary care providers and a medical home.

  • Explore other health insurance options, such as CHP+ if you are not eligible for Medicaid.

  • Arrange other medical needs for your family, including prenatal care.

  • Find a dentist and eye doctor for those under 21 years of age.

  • Find transportation to doctors appointments.

  • Find community resources by referring you to places in the community such as Head Start, Women, Infants and Children Nutrition Program (WIC), Health Care Program for Children with Special Needs (HCP), food banks, etc.

EPSDT Outreach works with the Medical Home Initiative in assisting Broomfield medical practices in accommodating Medicaid clients from Broomfield.  The Colorado Medical Home Initiative is a statewide effort to build systems of quality health care for children, while increasing the capacity of providers to deliver care to kids.

EPSDT works closely with Public Assistance caseworkers in the department to make the application process as efficient for families as possible. 

Services are provided on a daily, walk-in basis. 

Eligibility

EPSDT is available for pregnant women of all ages and children, ages newborn up to 21 years of age who are enrolled in Medicaid. 

Health Screenings

Health check-ups are important because they help can help to identify health problems early so that treatment can be started early. Some health problems can become a lifetime illness if not treated early. 

Medicaid will pay for these health check-ups at no cost.  If a problem is found that is not covered by Medicaid, the EPSDT Coordinator will help find a program which will provide treatment at little or no cost.

EPSDT is designed to detect and treat health problems early through health check-ups to include the following:

  • Health history of your child's growth, eating, and past illnesses,

  • A "head-to-toe" examination of your child,

  • A screening of your child's development,

  • Urine and blood tests as needed, including blood lead testing,

  • Immunizations,

  • Other tests or examinations as needed, and

  • Regular medical, dental, vision, hearing checkups and other medical screenings as needed.

Recommended number of check-ups by age:

Age Number of Check-ups
Birth-1 year 6-8 per year
1-2 years 2-3 per year
3-6 years 1 per year
7-20 years 1 every 1 to 2 years

Dental and Vision Benefits Available through EPSDT

  • Dental exams and treatments

  • Dental cleanings every 6 months

  • Dental education to keep teeth clean and healthy (dental braces and retainers are not covered unless there is severe handicapped malocclusion)

  • Vision examinations and glasses

For more information, please contact the EPSDT Coordinator at 720.887.2220 or visit the Health and Human Services Department, Public Health and Environment Division as 6 Garden Center, Broomfield, CO 80020.  Additional information about EPSDT is available in the Public Health Frequently Asked Questions.


Additional resources:

For information about Medicaid such as what it is, what are the eligibility requirements, how to apply, and how to find Medicaid providers, please visit the Colorado Department of Health Care Policy and Finance (CHCPF) website at http://www.chcpf.state.co.us/.

View frequently asked questions about EPSDT from the CHCPF website.