Early and Periodic Screening, Diagnostic, and Treatment Services
In accordance with the requirements in Section 1905(r) of the Social Security Act (SSA) and Title 42 Code of Federal Regulations(CFR) Section 441.50 et seq, and specifically CFR 441.56(b)(1)(vi), the Department of Health Care Services (DHCS) is responsible for providing full-scope Medi-Cal members under the age of 21 with a comprehensive, high-quality array of preventive (such as screening), diagnostic, and treatment services under EPSDT.
Medi-Cal Dental Coverage for EPSDT:
Consistent with state and federal law and regulations for EPSDT, the Medi-Cal Dental Program covers all services that are medically necessary under EPSDT, including those to “correct or ameliorate (to make tolerable)” defects and physical and mental illnesses or conditions. These services are without cost for the member.
Information for Medi-Cal Dental Members:
Infants, children, and youth under the age of 21 with full-scope Medi-Cal benefits are eligible to receive EPSDT services.
Information for Medi-Cal Dental Providers:
Using both written materials and in person or over the phone dialogue, dental providers should inform Medi-Cal members under age 21, or their parents, about EPSDT benefits and services and how to access them.
EPSDT Resources:
