EPSDT (Early and Periodic Screening, Diagnosis and Treatment)

Pediatric Preventive Health Care Program

We want to help ensure that your young patients get the care they need. That's why the liaisons in our EPSDT department assist the parents or guardians of all members younger than 21years of age in receiving EPSDT screenings, treatment, follow-up, and referrals to the Early Intervention Program when appropriate. The EPSDT liaison also facilitates and ensures EPSDT compliance, provides follow-up concerning service issues, educates non-compliant members on AmeriHealth Mercy's rules and regulations, and assists members in accessing care.

• See the full EPSDT program description (PDF)

EPSDT Guidelines

• Periodicity Schedule (PDF)

• Physician's Desk Guide (PDF)

• Updated Requirements and Resources for Structured Screening for Developmental Delays and Autism Spectrum Disorder for Medical Assistance Recipients (PDF)

• 2011 Immunization Table 0 - 6 years (PDF)

• 2011 Immunization Table 7 - 18 years (PDF)

• 2011 Immunization Catch-Up Schedule (PDF)

EPSDT Forms and Administration

• Department of Health

• DOH Family and Children

• American Academy of Pediatrics (AAP)

• American Academy of Pediatrics (PA Chapter)
  • EPSDT and Managed Care
  • Childhood Immunization Support Program

• National Immunization Program (NIP)

Vaccines for Children Program (VFC)

Primary Care Physicians treating members up to age 18 must participate in the Vaccines for Children Program (VFC).
The Pennsylvania Department of Health's Vaccine for Children Program provides vaccines to children who are Medicaid eligible or do not have health insurance and to children who are insured but whose insurance does not cover immunizations (underinsured). These vaccines are to be given to eligible children without cost to the provider or to the member. All routine childhood vaccines recommended by the Advisory Committee on Immunization Practices (ACIP) are available through this program.

Contact the Pennsylvania Department of Health:

• Web site - http://tinyurl.com/vaccinesforchildren 
• Telephone - 1-888-6-IMMUNIZE (1-888-646-6864) 

If you are not currently enrolled in the Vaccines for Children Program, please complete the VFC Enrollment Form.