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Early and Periodic Screening, Diagnostic and Treatment (EPSDT)

Who can get EPSDT preventive care services?

Santa Clara Family Health Plan (SCFHP) Medi-Cal Plan members who are infants, children, and youth under age 21 can get these services at no cost.

What are EPSDT preventive care services?

Services that ensure that infants, children, and youth under age 21 get the care they need at the right age. Services like:

  • Health and developmental history checks
  • Immunizations (also called vaccinations or shots)
  • Physical exams
  • Dental, hearing, and vision screenings
  • Lab tests (including blood lead testing)
  • Screening for mental health or substance use conditions
  • Referral for diagnostic and treatment services

Which preventive care services do I need?

You or your child may get screenings, developmental services, specialty care, and needed immunizations (also called vaccines or shots) to keep you healthy. For more guidelines, see Bright Futures/American Academy of Pediatrics' recommendations for preventive care based on age. See the general guidelines for preventive care based on age below.

Infancy (0–12 months)

Well-care visits for babies (also called well-baby visits) include: checking your baby’s growth, getting shots to prevent diseases, and getting screenings for vision, hearing, lead, oral health, and development.

For more information, see Bright Futures/American Academy of Pediatrics' complete list of recommendations for preventive care based on age.

Early childhood (12 months–4 years)

Well-baby visits for children ages 14 include: checking your child’s growth, getting shots to prevent diseases, and getting screenings for vision, hearing, lead, anemia, tuberculosis, oral health, and development.

For more information, see Bright Futures/American Academy of Pediatrics' complete list of recommendations for preventive care based on age.

Middle childhood (5–10 years)

Well-child visits for children ages 510 include: checking your child’s growth, getting shots to prevent diseases, and getting screenings for vision, hearing, lead, anemia, tuberculosis, oral health, psychosocial/behavioral, and development.

For more information, see Bright Futures/American Academy of Pediatrics' complete list of recommendations for preventive care based on age.

Young adolescents (11–15 years)

Well-child visits for children ages 1115 include: checking your child’s growth, getting shots to prevent diseases, and getting screenings for vision, hearing, oral health, anemia, tuberculosis, substance use disorder, sexual health, depression, and development.

For more information, see Bright Futures/American Academy of Pediatrics' complete list of recommendations for preventive care based on age.

Adolescents (16–21 years)

Well-care visits for adolescents ages 16–21 include: checking your teen’s growth, getting shots to prevent diseases, and getting screenings for vision, hearing, substance use disorder, depression, sexual health, and development.

For more information, see Bright Futures/American Academy of Pediatrics' complete list of recommendations for preventive care based on age.

Medi-Cal covers medically necessary screenings (including lead blood-level assessment) any time you need them at no cost to you.

Check-ups and screenings can help doctors find health issues early. If a physical or behavioral health issue is found during a check-up or screening, Medi-Cal will cover the care needed to address it.

How do I get EPSDT preventive care services?

Call your child’s doctor to schedule check-ups, screenings, or other preventive care.

You may qualify for rewards!

SCFHP rewards its Medi-Cal members for completing select routine health exams. Learn more.

If you have more questions about preventive care services, please call SCFHP Customer Service at 1-800-260-2055 (TTY: 711), Monday through Friday, 8:30 a.m. to 5 p.m.

If you speak a language other than English, language assistance services, free of charge, are available to you. Call Customer Service at 1-800-260-2055 (TTY: 711), Monday through Friday, 8:30 a.m. to 5 p.m. The call is free.