Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services

In accordance with the requirements in Section 1905(r) of the Social Security Act (SSA) and Title 42 Code of Federal Regulations (CFR) Section 441.50 et seq, and specifically CFR 441.56(b)(1)(vi), the Department of Health Care Services (DHCS) is responsible for providing full-scope Medi-Cal members under the age of 21 with a comprehensive, high-quality array of preventive (such as screening), diagnostic, and treatment services under EPSDT. Further, consistent with state and federal law and regulations for EPSDT, the Medi-Cal Dental Program covers all services that are medically necessary under EPSDT, including those to "correct or ameliorate" defects and physical and mental illnesses or conditions. These services are without cost for the member.


Treatment Authorization Request Examples