What is EPSDT?
Medicaid’s Early and Periodic Screening, Diagnosis and Treatment for youth under the age of 21.
In Kentucky EPSDT has covered Intensive Outpatient (IOP) treatment, residential treatment, and inpatient treatment programs for adolescent substance abuse. It is not often used to cover outpatient treatment or case management services, two services adolescents may benefit from.
Only parties who are eligible to bill Medicaid can be approved to provide EPSDT funded services. Potential providers include the community mental health centers (CMHC) and other “health care providers”, public and private (ex. Ten Broeck, The Ridge, Rivendell, Caritas, etc),