EPSDT - Well-Child Visit Program

Medicaid’s Well-Child Visit Program is officially known as the Early, Periodic, Screening, Diagnosis and Treatment program. EPSDT is a mandated program that is designed to find children with actual or potential health problems and to screen, diagnose and treat the problems before they become permanent, lifelong disabilities. The program also offers preventive health services to Medicaid-eligible children under 21 years of age, except those who receive pregnancy-related or family planning services only.

• Fact Sheet EPSDT - English version
• Fact Sheet EPSDT - Spanish version
• EPSDT Brochure - English version
• EPSDT Brochure - Spanish version
• Administrative Code - Chapter 11
• Billing Information EPSDT - Revised 3/22/18
• Provider Manual - Appendix A - Well-Child Visit (EPSDT)
• Checklist for EPSDT Providers - Information on denials, reasons for recoupments, where to find information in the Medicaid Provider Billing Manual, free tools and contacts for providers to use in preventing fraud and abuse. 
• EPSDT Forms - Includes Referral Form 362, Quick Reference Sheet
• Did You Know? - Information on Medicaid's EPSDT Program
• FAQs - Frequently Asked Questions about EPSDT
• Outreach Letter - Sent twice annually to recipients who have not had a screening in at least 12 months

• Vaccines for Children (VFC) Program - Alabama Department of Public Health
• Vaccines for Children (VFC) Program - CDC
• Immunization Information and Resources - Alabama Department of Public Health
• Frequently Asked Questions about Vaccine Counseling - Updated 5/18/22

• ABA Providers - 9/12/22
• ABA Therapy Behavior Assessment Form - Form must be completed and submitted as supporting documentation for an ABA therapy PA request - Fillable - Revised 6/20/19
• ABA Therapy Prior Authorization Instructions for Providers - Updated 1/3/19
• ABA Therapy Prior Authorization Provider Tip Sheet - Updated 1/2/20

• Presentation - Fundamentals of EPSDT - Updated 11/2023
  • Video Presentation
• Presentation - Updates in the EPSDT Program - 2/8/17
• Presentation - Overview of EPSDT Program - Revised 9/27/16

• DME/EPSDT Fee Schedules - Includes Manually Priced and EPSDT fee schedules
• Provider Enrollment