EPSDT Well Visits
What is the Arizona Health Care Cost Containment System (AHCCCS) EPSDT Program?
EPSDT is a wellness program for members under the age of 21. The EPSDT Well Visit is the same as a Well Child Visit. The program helps children receive services they need. It includes preventive, dental, vision, mental health, developmental, and specialty services.
Early – Finding problems early.
Periodic – Get checked regularly.
Screening – Physical, dental, hearing, vision, and other screens.
Diagnostic – Run tests when a problem is found.
Treatment – Treat, fix or reduce health problems.
- Height and weight check
- Hearing and vision tests
- Shots needed provided
- Unclothed physical exam
- Diet and nutrition review
- Developmental check
- Mental health screening
- Dental Screening
- Vision Services
- Laboratory testing
- 3-5 days
- 1 month
- 2 month
- 4 month
- 6 month
- 9 month
- 12 month
- 15 month
- 18 month
- 24 month
- Annually from age 3 – 20 years
Well visits are important for all children. Children with health conditions or special needs can benefit from this visit. Doctors can help parents by going over good nutrition. They can review oral care, and safety precautions.
Arizona Complete Health covers dental checkups and cleanings for members under the age of 21; a referral is not needed.
- Dental exams
- Dental cleanings
- Fillings for cavities
- Application of fluoride
- Dental sealants
- Emergency dental services
Arizona Complete Health-Complete Care Plan covers eye exams and vision screenings for members up to the age of 21. A referral is not needed.
- Regular eye exams
- Vision screening
- Prescription eyeglasses
- Repairs or replacements of broken or lost eyeglasses
- Replacement due to change in prescription
AHCCCS covers emergency dental for members 21 and older. Covered services must be related to the treatment of acute pain, infection, or fracture of the jaw.
Coverage includes limited dental services for members needing an organ or tissue transplantation or prior to radiation treatment for cancer of the jaw, neck or head.
Emergency dental coverage includes:
- Limited exam
- Tooth colored filling on a front tooth
- Root canal
- Tooth extraction
- Temporary filling
Vaccines for Children (VFC) Program
The Vaccines for Children (VFC) Program is a federally funded program that provides vaccines at no cost to children who might not otherwise be vaccinated because of inability to pay. The program was officially implemented in October 1994 as part of the President's Childhood Immunization Initiative. Funding for the VFC Program allows the Centers for Disease Control and Prevention (CDC) to buy vaccines at a discount from the manufacturers and distribute them to state health departments and certain local and territorial public health agencies, which in turn distribute them at no charge to private physician offices and public health clinics registered as VFC providers.
*Excerpted from the Federal VFC Operations Guide
If you have any questions, please contact the Arizona VFC Program at (602) 364-3642.
The Arizona State Immunization Information System (ASIIS)
The Arizona State Immunization Information System (ASIIS) is an immunization registry designed to capture immunization data on individuals within the state. Providers are mandated under Arizona Revised Statute (ARS) §36-135 to report all immunizations administered to children 18 years of age and younger to the state's health department. The registry serves as a receptacle for accommodating these reported data. In this capacity, the registry then provides a valuable tool for the management and reporting of immunization information to public health professionals, private and public healthcare providers, parents, guardians and other child care personnel.
Arizona State Immunization Information System (ASIIS)
150 N. 18th Avenue, #120
Phoenix, AZ 85007
(602) 364-3285 Fax
Visit the Arizona Health Cost Containment Sysytem's (AHCCCS) Medical Policy Manual for the following forms:
Chapter 400 - Medical Police for Maternal and Child Health - Section 430, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services
- Attachment A, AHCCCS EPSDT Periodicity Schedule
- Attachment B, AHCCCS Cert. of Medical Necessity for Comm. Oral Nutritional Supplements
- Attachment C, Procedures for the Coordination of Services Under EPSDT and Early Intervention
- Attachment D, Arizona Early Intervention Program (AzEIP) AHCCCS Member Service Request
- Attachment E, AHCCCS EPSDT Tracking Forms
- Attachment F, EPSDT Plan and Evaluation Checklist