Toolkit: State Resources

	State EPSDT Programs
	State EPSDT/Medicaid Publications
	State Health Departments
	State Immunization Programs and Contacts
	State Newborn Screening Contacts

State EPSDT Programs

Click on the map below or scroll down the page to access state-specific EPSDT programs and resources. Please note that state EPSDT program names vary and may change. If you have specific questions about an EPSDT program, contact the state Medicaid department.

If you would like to submit information about a state EPSDT program or resource, please e-mail Bright Futures at Georgetown University. Other state resources are also available.

Alabama:

• Provider Manual (2007)
• Periodicity Schedule: Included in Provider Manual, pg. A-2
• EPSDT/Well-Child Checkup Program

Alaska:

• EPSDT Administrative Code (Undated)
• Periodicity Schedule: (also included in Adminstrative Code, item (d))
• EPSDT Program: Health Services

Arizona

• Provider Manual (2009), Chapter 400, Policy 430 (PDF)
• Periodicity Schedule (PDF)
• Tracking Forms for EPSDT visits (PDF)

Arkansas:

• Provider Manual (2006) (PDF)
• Procedure Codes (2007 Update)
• Periodicity Schedule: Follows AAP schedule (PDF)

California:

• Provider Manual
• Periodicity Schedule (PDF)
• EPSDT Program: Medi-Cal EPSDT

Colorado:

• EPSDT Toolkit
• Periodicity Schedule: Follows AAP schedule (PDF)

Connecticut:

• EPSDT Quick Reference Guide (PDF)
• Periodicity Schedule: Included in Reference Guide
• EPSDT Program: HUSKY - Healthcare for Uninsured Kids and Youth, Part A

Delaware:

• Provider Manual (Section 4.4) (PDF)
• Periodicity Schedule: Follows AAP schedule (PDF)

District of Columbia:

• Provider Manual (PDF)
• Appendices
• Transmittals
• Periodicity Schedule l Dental Periodicity Schedule (PDFs)
• EPSDT Program: HealthCheck: Includes Online Resources (Standard Medical Record Forms); District Contacts; and online Provider Education System for DC pediatricians

Florida:

• Provider Manual (2003) (PDF)
• Periodicity Schedule: Follows AAP schedule
• EPSDT Program: Child Health Check-up
• Fact Sheet (PDF)

Georgia:

• Policies and Procedures Manual (2007) (PDF)
• Periodicity Schedule: Follows AAP schedule (PDF)
• EPSDT Program: Health Check

Hawaii:

• Provider Manual (Chapter 5) (PDF)
• Periodicity Schedule: Follows AAP schedule (PDF)
• EPSDT Program: Med-Quest EPSDT

Idaho:

• Administrative Code, (Section 580, pg. 61; and Section 880, pg. 145) (2009)
• Periodicity Schedule: Follows AAP schedule (PDF)
• EPSDT Program: Healthy Connections/EPSDT

Illinois:

• Handbook for Providers (2008) (PDF)
• Appendices
• Administrative Code
• Periodicity Schedule: Follows AAP schedule (PDF)

Indiana:

• Provider Manual (2009) (PDF)
• Administrative Code (Title 405, Article 5, Rule 15, pg. 35)
• Periodicity Schedule (Title 405, Article 5, Rule 15, pg. 38 in Administrative Code)
• EPSDT Program: Health Watch/EPSDT (PDF)

Iowa:

• Provider Web Site
• Periodicity Schedule (PDF)
• EPSDT Program: Care for Kids

Kansas:

• Provider Manual, (pg. 2-5) (2008) (PDF)
• Periodicity Schedule: Follows AAP schedule (PDF)
• EPSDT Program: KAN Be Healthy (KBH)

Kentucky:

• EPSDT Services Manual (PDF)
• Periodicity Schedule: Follows AAP schedule (PDF)
• EPSDT Program: Well Child Checks l Special Services
• EPSDT Brochure (PDF)

Louisiana:

• Administrative Manual - EPSDT Section (2008) (PDF)
• Periodicity Schedule (PDF)
• EPSDT Program: KIDMED
• Brochure Front | Back (PDFs)

Maine:

• Provider Information
• Periodicity Schedule (PDF)

Maryland:

• Provider Manual (PDF)
• Periodicity Schedule: Follows AAP schedule (PDF)
• EPSDT Program: Healthy Kids Program

Massachusetts:

• Provider Manual (2009) (PDF)
• Periodicity Schedule: Included in Provider Manual

Michigan:

• EPSDT Policy Manual (2002) (PDF)
• Periodicity Schedule: Follows AAP schedule (PDF)
• EPSDT Program: Healthy Kids

Minnesota:

• Provider Guide (2007) (PDF)
• Periodicity Schedule (PDF)
• EPSDT Program: Child and Teen Checkups

Mississippi:

• Provider Policy Manual – EPSDT Section (2008) (PDF)
• Periodicity Schedule (PDF)
• EPSDT Program: Mississippi Cool Kids

Missouri:

• Provider Manual – EPSDT Guidelines (2006) (PDF)
• Periodicity Schedule: Follows AAP schedule (PDF)
• EPSDT Program: Healthy Children and Youth (HCY)

Montana:

• Provider Manual (2005) (PDF)
• Periodicity Schedule: Follows AAP schedule (PDF)
• EPSDT Program: Well Child EPSDT

Nebraska:

• Social Services Manual, Chapter 33 - EPSDT (1996)
• Periodicity Schedule: AAP schedule recommended as guideline for content and frequency (PDF)
• EPSDT Program: Health Check

Nevada: Online Well-Child Care Curriculum for Nevada

• Medicaid Services Manual, EPSDT Section 1500 (2003) (PDF)
• Screening/Periodicity Schedule: in color | in black and white (PDF)
• EPSDT Program: HEALTHY KIDS: Contains information on:
• Toolkit of Healthy Kids-EPSDT Resources
• Listing of Healthy Kids/EPSDT Services
• More Nevada Resources

New Hampshire:

• Physician Provider Manual, Page 2-33 EPSDT (1994)
• Periodicity Schedule: Appears on Page 2-35 of Provider Manual
• EPSDT Program: Healthy Kids Gold

New Jersey:

• Administrative Code, Title 10, 10:58A-2.11- EPSDT (2005)
• Periodicity Schedule (Fact Sheet)
• NJ FamilyCare Program: Includes services and persons covered; immigrant information; FAQs; cost information; enrollment assistance; and application documents
• NJ FamilyCare Fact Sheet/Checklist (PDF)

New Mexico:

• Provider Policies (1995)
• Periodicity Schedule (Preventive Health Guidelines)
• Human Services Register (Dental Services)

New York:

• Provider Manual
• Periodicity Schedule: Follows AAP schedule
• Child Health Plus A: Includes program information; benefits and eligibility information; provider locations; application information; and HIPAA privacy notice

North Carolina:

• Policy and Procedures Guide (2009)
• Periodicity Schedule: Follows AAP schedule
• Health Check: Includes coordinator director and users guide; participation data; EPSDT provider information; strategies; outreach project: and an Information and Notification System
• EPSDT-Health Check Provider Bulletin
• Health Check – EPSDT Information for Consumers

North Dakota:

• Provider Manual, EPSDT, Page 106 (2008)
• Periodicity Schedule: Follows AAP schedule
• EPSDT Program: Health Tracks: Includes listing of services; business services, online services; direct service locations; information on providers; publications; and tribal liaison information

Ohio:

• Administrative Code, Chapter 5101:3-14, EPSDT (2006)
• Periodicity Schedule: Follows AAP schedule
• EPSDT Program: Healthchek: Includes brochure (in English and Spanish); listing of services; lead screening information; and Healthchek coordinator information
• Healthchek Fact Sheet (PDF)
• EPSDT Benefits Brochure

Oklahoma:

• Provider Manual
• Periodicity Schedule
• Forms for EPSDT Visits – 1 Week to 20 Years

Oregon:

• Administrative Code - EPSDT Section: 410-130-0245 (2009)
• Periodicity Schedule: Has none

Pennsylvania:

• Code, Chapter 1241, EPSDT (2005)
• Periodicity Schedule

Rhode Island: Quick Reference:

• Web Site
• Periodicity Schedule
• RIte Care Health Insurance: A Celebration of Children’s Health: Describes 10 reasons RIte Care makes a difference

South Carolina:

• Provider Manual, Policies and Procedures, EPSDT, Page 2-44 thru 2-60 (2009)
• Periodicity Schedule: Appears on Page 2-60 of the Provider Manual
• EPSDT Program: Partners for Healthy Children (PHC): Includes program information; beneficiary and provider services; reports and statistics; electronic data; eligibility requirements; and downloadable application information

South Dakota:

• Professional Services Manual, EPSDT, Page 24 (2009)
• Periodicity Schedule
• EPSDT Program: Healthy Kids Klub: Includes pediatric vaccine information; immunization codes; screening codes; professional services manual; Bright Futures resources; chep-up and immunization schedule; and links to national resources

Tennessee: Quick Reference: Provider Manual | Periodicity Schedule

• Provider Manual (2009)
• Periodicity Schedule
• EPSDT Program: TENNder Care: Includes program information; components of doctor visits; dental services; immunizations; special health needs; reports; publications; and children's resources

Texas:

• Provider Procedure Manual, EPSDT (2008)
• Periodicity Schedule
• EPSDT Program: Texas Health Steps (THSteps): Includes program description and information for providers and recipients
• THSteps Outreach Brochure : Describes the program and services in English and Spanish
• Provider Forms : Includes child health clinical record forms and THSteps Checkup forms

Utah:

• Provider Manual, EPSDT Services (2005)
• Periodicity Schedule, Appendix C
• EPSDT Program: Child Health Evaluation and Care (or CHEC): Includes program, provider, and client information; FAQs; and information in Spanish

Vermont:

• Provider’s Toolkit
• Periodicity Schedule
• EPSDT Program: Dr. Dynasaur: Includes history; eligibility; and SCHIP information

Virginia:

• Provider Manual, EPSDT Supplement (2008)
• Periodicity Manual

Washington: Quick Reference: Provider Manual | Periodicity Schedule

• Billing Instruction Manual, EPSDT (2007)
• Periodicity Schedule
• EPSDT Program: Healthy Kids Program: Includes program information and SCHIP information

West Virginia:

• Provider Manual (2006)
• Online Provider Manual (2006)
• Periodicity Schedule
• EPSDT Program: Health Check: Includes program information; outreach regions; provider information; FAQs; and resources

Wisconsin:

• Screening Services Handbook
• Periodicity Schedule

Wyoming:

• EPSDT Bulletin (2007)
• Periodicity Schedule: Follows AAP schedule
• EPSDT Program: Health Check: Includes components of visit; importance of visits; and links to other resources
• Health Check Newsletter: Lists Health Check services for children, a periodicity schedule, safety tips, and how to make an appointment
• Health Check for Teens: Includes information on Health Check services for teens, mental health concerns, parent/teen relationships, and how to make an appointment

 

State EPSDT/Medicaid Publications

An Evaluation of State EPSDT Screening Tools. Issue Paper #3 on Contracting for Managed Behavioral Health Care by the Bazelon Center for Mental Health Law

A 50-State Analysis of Medicaid Benefit Coverage for Children without EPSDT, The Maternal and Child Health Policy Research Center provides an analysis of the Medicaid coverage that would be available to children in each state if EPSDT were eliminated.

 

State Health Departments

Links to State Health Departments by region and by state

 

State Immunization Programs and Contacts

State Immunization Program Websites (Immunization Action Coalition)

State and Project Coordinators (Immunization Action Coalition)

 

State Newborn Screening

National Newborn Screening and Genetics Resource Center (PDF) - provides state-specific screening contacts