Early and Periodic Screening, Diagnostic, and Treatment Services

Medi-Cal Coverage for EPSDT: 

Information for Medi-Cal Beneficiaries:

Information for Medi-Cal Providers

Helpful Resources and Documents:

• Medi-Cal Subscription Service (MCSS): A free service that provides the latest Medi-Cal news. Subscribers receive subject-specific emails for urgent announcements and other updates shortly after they post to the Medi-Cal website. To subscribe, please click on this website link.
• Medi-Cal Provider Bulletins – Provides access to published Medi-Cal Provider Bulletins and Newsflash articles.
• Medi-Cal Provider Manual, EPSDT - Provides policy information regarding the Early and Periodic Screening, Diagnostic, and Treatment benefit, coverage, and medical necessity.
• Medi-Cal Provider Manual, Preventive Services – Provides policy information regarding Medi-Cal covered preventive services.
• my Medi-Cal: How To Get the Care You Need – Pub 68 Provides information to all newly enrolled beneficiaries about Medi-Cal.
• All-Plan Letter (APL) 18-007 - This APL clarifies the responsibilities of Medi-Cal managed care health plans to provide EPSDT services to eligible members under the age of 21.
• Mental Health and Substance Use Disorder Services Information Notices:
• 16-063 reminds counties of substance use disorder (SUD) services available under EPSDT.
• 18-048 provides guidance on data submission requirements for EPSDT services.
• 17-052 describes specialty mental health services performance outcomes system functional assessment tools for children and youth.
• Other health and mental health plan letters – These letters are issued to Medi-Cal managed care plans that serve Medi-Cal beneficiaries, and include requirements for providing services under EPSDT.
• EPSDT Skilled Nursing Services

Federal Approvals