Early and Periodic Screening Diagnostic and Treatment (EPSDT)
Healthchek is Ohio’s Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit. Healthchek covers medical exams, immunizations (shots), health education, and laboratory tests for everyone on Medicaid from birth to age 21. These exams are important to make sure that children are healthy and are developing physically and mentally. Mothers should have prenatal exams and children should have exams at the following ages:
After that, children should have at least one exam per year.
Healthchek services are available at no cost to you and include:
- Preventive checkups for those from birth to age 21.
- Healthchek screenings:
- Complete medical exams (with a review of physical and mental health development)
- Vision exams
- Dental exams
- Hearing exams
- Nutrition checks
- Developmental exams
- Lead testing
- Laboratory tests for certain ages
- Medically necessary follow-up care to treat physical, mental or other health problems or issues found during a screening. This could include, but is not limited to:
- Visits with a primary care provider (PCP), specialist, dentist, eye doctor and other CareSource providers to diagnose and treat problems or issues
- Inpatient or outpatient hospital care
- Clinic visits
- Prescription drugs
- Laboratory tests
- Health education
It is very important to get preventive checkups and screenings so your providers can find any health problems early and treat them, or make a referral to a specialist for treatment, before the problem gets more serious. Some services may require a referral from your PCP or prior authorization by CareSource.
As a part of Healthchek, care management services are available to all members with special health care needs, from birth to age 21. If you would like more information on the Healthchek program, please call Member Services.
Member Services: 1-800-488-0134 (TTY: 1-800-750-0750 or 711), Monday – Friday 7 a.m. – 7 p.m.