EPSDT Program



What is EPSDT?

The Early and Periodic Screening, Diagnostic and Treatment (EPSDT) program is a child health initiative for Medical Assistance members. Think of it like this:

  • 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.

Your child’s good health starts with having regular checkups with their primary care provider (PCP). Your child's PCP will complete a yearly physical exam to make sure they are growing well, as well as conduct preventive screenings based on your child’s age, sex and medical history to make sure they do not have any health problems. For more information on our program and a checkups, screenings, and test schedule download our program brochure.

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Questions?

One of our friendly Highmark Wholecare representatives is available to take your call.

Medicaid: 1-800-392-1147
8am to 8pm, Monday through Friday

(TTY# 711 for hearing impaired)

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This information is issued on behalf of Highmark Wholecare, coverage by Gateway Health Plan, which is an independent licensee of the Blue Cross Blue Shield Association. Highmark Wholecare serves a Medicaid plan to Blue Shield members in 13 counties in central Pennsylvania, as well as, to Blue Cross Blue Shield members in 27 counties in western Pennsylvania. Highmark Wholecare serves Medicare Dual Special Needs plans (D-SNP) to Blue Shield members in 14 counties in northeastern Pennsylvania, 12 counties in central Pennsylvania, 5 counties in southeastern Pennsylvania, and to Blue Cross Blue Shield members in 27 counties in western Pennsylvania.

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