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Special Health Issues
HealthCheck Summaries: Eligible Participants and Providers
Descriptive HealthCheck Program Summaries
The following pages contain summaries describing important administrative aspects of the HealthCheck Program including:
Eligible Children and Teens
HealthCheck Program services are provided to children and adolescents under age 21 who are eligible for Medicaid, including:
All DC Medicaid Managed Care primary care providers (PCPs) are responsible for providing HealthCheck screening services to patients up to age 21.
States cannot limit EPSDT providers to only those who can provide all mandated diagnostic and treatment services.
Families enrolled in a Managed Care Organization (MCO)1 are required to choose a provider or one will be chosen for them.
should choose a PCP who will provide their medical care
and will coordinate the delivery of care from other providers
The following describes responsibilities for mental health services within the HealthCheck Program: