BOX 9-1Medicaid’s Early Periodic Screening, Detection, and Treatment Benefits

(as required under Section 1905(r) of the Social Security Act)

Screening Services (all of the following):

  • Comprehensive health and developmental history (physical and mental health);
  • Comprehensive unclothed physical exam;
  • Appropriate immunizations;
  • Laboratory tests;
  • Lead toxicity screening;
  • Health education (for parents and children);
  • Vision services (including diagnosis and treatment for defects in vision, including eyeglasses);
  • Dental services (including relief of pain and infections, restoration of teeth and maintenance of dental health);
  • Hearing services (include diagnosis and treatment for defects in hearing, including hearing aids); and
  • Other necessary health care to correct or ameliorate defects, and physical and mental illnesses and conditions discovered by the screening services.


When a screening examination indicates the need for further evaluation of an individual’s health, provide diagnostic services. The referral should be made without delay and follow-up to make sure that the recipient receives a complete diagnostic evaluation. If the recipient is receiving care from a continuing care provider, diagnosis may be part of the screening and examination process. States should develop quality assurance procedures to assure comprehensive care for the individual.


Health care must be made available for treatment or other measures to correct or ameliorate defects and physical and mental illnesses or conditions discovered by the screening services.

Any additional diagnostic and treatment services determined to be medically necessary must also be provided to a child diagnosed with an elevated blood lead level.

SOURCE: CMS (2005e).

From: 9, Coverage of Assistive Technologies and Personal Assistive Services

Cover of The Future of Disability in America
The Future of Disability in America.
Institute of Medicine (US) Committee on Disability in America; Field MJ, Jette AM, editors.
Washington (DC): National Academies Press (US); 2007.
Copyright © 2007, National Academy of Sciences.

NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.