Medi-Cal for Kids & Teens (Early and Periodic Screening, Diagnostic, and Treatment [EPSDT] services)
The Department of Health Care Services (DHCS) is responsible to provide no-cost, all-encompassing, EPSDT services to Medi-Cal beneficiaries under the age of 21. EPSDT services are now referred to as Medi-Cal for Kids & Teens in the state of California.
Educating our members
Providers can use the information presented on this page and resources available from DHCS to inform our members under the age of 21 (or the parent or legal guardian) about:
- The importance of preventive services and screenings
- No-cost services available for Medi-Cal for Kids & Teens beneficiaries
- Availability of services in their area and how to receive them
- Free transportation and scheduling assistance
- Receiving medically necessary treatments or procedures (regardless of Medi-Cal coverage)
Medi-Cal for Kids & Teens covered services
- Free check-ups
- Mental health services including drug and alcohol treatments and therapies
- Dental check-ups and follow-up services
- Vision services
- Hearing services
- COVID-19 testing and treatment
- Medical equipment and supplies, including durable medical equipment (DME)
- Lab testing
- Physical, occupational, and speech therapy
- Home health services (HHS), including nursing care
- Hospital and residential treatment
- Sexual and reproductive health services and pregnancy check-ups for teens and young adults
Medi-Cal for Kids & Teens resources:
For additional language options for outreach brochures and Medi-Cal rights materials, please visit the DHCS Medi-Cal for Kids & Teens Resources page .
Anthem Blue Cross and EPSDT services
Anthem Blue Cross (Anthem) is committed to ensuring members receive age-appropriate preventive health services. A list of panel members who, based on our claims data, may not have received Early and Periodic Screening, Diagnostic and Treatment (EPSDT) services according to schedule is sent to PCPs. Additionally, we mail information to these members encouraging them to contact their PCP’s office to set up appointments for needed services.
Please note, specific service(s) needed for each member is reported on the list. The list is based only on services received during the time the member has been enrolled with us. The list is generated based on claims data received prior to the date printed on the list. In some instances, the appropriate services may have been provided after the report run date. To ensure accuracy in tracking appointments for preventive services, please submit a completed claim form.
Beginning in January 2024, all primary care providers who care for our members under 21 years of age must complete the required DHCS training for Medi-Cal for Kids & Teens (EPSDT) services. Anthem is required to submit an annual plan to DHCS that includes an attestation that our Provider Network is in compliance with the EPSDT Medi-Cal for Kids & Teens training along with a list of all Network Providers who have completed the training within the prior 12 months.
If you would like more information about Anthem provider resources for EPSDT services and the state of California’s state-sponsored programs, please contact us .
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