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EPSDT Well Visits

Arizona Complete Health-Complete Care Plan EPSDT

What is the Arizona Health Care Cost Containment System (AHCCCS) EPSDT Program?

Early Periodic Screening, Diagnostic and Treatment (EPSDT) is a comprehensive child health program of prevention and treatment, correction, and improvement (amelioration) of physical and behavioral health conditions for AHCCCS members up to the age of 21. The purpose of EPSDT is to ensure the availability and accessibility of health care resources, as well as to assist Medicaid recipients in effectively utilizing these resources.

EPSDT services provide comprehensive health care through primary prevention, early intervention, diagnosis, medically necessary treatment, and follow-up care of physical and behavioral health problems for AHCCCS members up to the age of 21.

Coverage Includes

  • Height and weight check
  • Hearing and vision tests
  • Shots needed provided
  • Comprehensive physical exam 
  • Diet and nutrition review
  • Developmental check
  • Mental health screening
  • Dental screening
  • Vision services
  • Laboratory testing

Well-child care will also give you ideas about how to:

  • Keep your child well
  • Protect your child from getting hurt
  • Spot health problems early
  • Apply for services like WIC, Head Start, Children’s Rehabilitative Services (CRS), and the Arizona Early Intervention Program (AzEIP)

News from AHCCCS

 

All children should see their doctor for well-child* visits regularly. Well-child checkups should be done at the following ages or at any other time if medically indicated:

  • Newborn
  • 3-5 days
  • 1 month
  • 2 month
  • 4 month
  • 6 month
  • 9 month
  • 12 month
  • 15 month
  • 18 month
  • 24 month
  • 30 month
  • Annually from age 3 – up to 21 years

We will send you a reminder about well-child checkups. It is important for your child to go to all the well-child checkups. Make an appointment with your PCP *A well-child visit/check is the same as an EPSDT

Arizona Complete Health covers dental checkups and cleanings for members under the age of 21; a referral is not needed.

Coverage includes:

  • Dental exams
  • Dental cleanings
  • Fillings for cavities
  • X-rays
  • Application of fluoride
  • Dental sealants
  • Emergency dental services

Dental Periodicity Schedule Exhibit 431-1 (PDF)

Arizona Complete Health-Complete Care Plan covers eye exams and vision screenings for members up to the age of 21. A referral is not needed.

Coverage includes:

  • Regular eye exams
  • Vision screening
  • Prescription eyeglasses
  • Repairs or replacements of broken or lost eyeglasses
  • Replacement due to change in prescription