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 21 years 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 Keystone First's rules and regulations, and assists members in accessing care.

• See the full EPSDT program description (PDF)

EPSDT guidelines

• Immunization and catch-up schedule (PDF)
• Periodicity schedule (PDF)
• Physician's desk guide (PDF)
• Quick reference guide (PDF)

EPSDT forms and administration

• American Academy of Pediatrics (AAP)
• American Academy of Pediatrics (PA Chapter)
• City of Philadelphia provider request form for environmental lead investigation (PDF)
• DHHS children and families
• Elevated lead investigation referral form (PDF)
• Montgomery County Department of Health and Human Services elevated lead level reporting form (PDF)
• National Immunization Program (NIP)

Developmental screening tools

• American Academy of Pediatrics (PA Chapter) Developmental Toolkit (PDF)
• Early Intervention Screening Booklet (PDF)

EPSDT ECHO Series Fall 2021

• Overview of EPSDT
• EPSDT and Developmental Resources
• EPSDT and Child-Well Being
• Your "Easy Button" to Screen and Manage the Care of Children with Elevated Blood Lead Levels
• Your MCO Partnership- Introduction to Keystone First's QEP (Quality Enhancement Program)

Vaccines For Children (VFC) program

Primary care physicians treating members up to age 18 must participate in the Vaccines for Children (VFC) program.

The Pennsylvania Department of Health's Vaccines 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.

Philadelphia County PCPs should contact the Philadelphia VFC program. The program is administered by the Philadelphia Department of Public Health Division of Disease Control Immunization Program.

Contact information:

Providers in all other Pennsylvania counties should contact: