Anthem Blue Cross and Blue Shield Healthcare Solutions is committed to ensuring members receive age-appropriate preventive health services. Each month, we send PCPs 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. Additionally, we mail information to these members encouraging them to contact their PCP’s office to set up appointments for needed services.
Please remember, services must be rendered on or after the due date in accordance with federal and state EPSDT guidelines. In an effort to increase the flexibility of the complicated childhood immunization schedule, the Advisory Committee on Immunization Practices recommends that vaccine doses administered up to four days before the minimum interval or age can be counted as valid. This does not change the recommendation for routine vaccination but rather makes an allowance that should be considered when evaluating records after a child has been vaccinated.