EPSDT Program

The Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program is a federally mandated program for patients age 20 and younger who are eligible for medical assistance. HealthCheck is the name for West Virginia’s EPSDT program. Through the HealthCheck Program, pediatric patients are eligible to receive medical, dental, vision, and hearing screenings to ensure they receive all medically necessary services without regard to covered services. Providers are required to ensure all patients age 20 and younger have timely access to EPSDT services and are responsible for ensuring continuation of care for all patients due to receive EPSDT services. Providers are also to arrange for medically necessary follow-up care after a screening or an encounter. For more information, refer to the HealthCheck section of the HHO WV Provider Manual.