Well-child visits (Child Health Check-Up Visits) include preventive and comprehensive services for eligible children born through 20 years of age and children in the Medicaid program.
Good health starts with regular well-child visits (Child Health Check-Up Visits)! Regular doctor visits help to identify health problems before they become serious. Florida Medicaid follows the Bright Futures Recommendations for Preventive Pediatric Health Care. For more information, please see Bright Futures Recommendations.
Is it time for your child’s well-child visit (Child Health Check-Up Visit)? Call your child's doctor today to schedule an appointment.
For more information on well-child visits (Child Health Check-Up Visits) call your health plan, County Health Department, Community Health Center, or call the Medicaid Helpline at 1-877-254-1055.
| Available Services: | Eligible children and young adults should have a health check-up at: |
|---|---|
| Regular physical exams Growth Measurements Immunizations (shots) Vision and hearing screenings Dental Screenings Other important tests and services Referral for diagnosis and treatment, if necessary | birth; 3-5 days for newborns discharged in less than 48 hours after delivery; by 1 month; 2 months; 4 months; 6 months; 9 months; 12 months; 15 months; 18 months; 24 months; 30 months; once every year for ages 3-20. You may also request a well-child visit at other times if you think your child needs it. |
Covered Services
Florida Medicaid’s covered services can be found on the Florida Medicaid’s Covered Services and HCBS Waivers webpage. The listed services are covered services for recipients under the age of 21. The following applies to these covered services. For specific policy and limits information, please see the Medicaid coverage policies and fee schedules by visiting the Agency’s Adopted Rules - Main Page.
- Services are free
- No co-payment
- No limit on approved services
- No wait list for services
- No total coverage limit on approved services
- No limit on the number of visits to the doctor, therapist, dentist, or any other Medicaid provider
- Services may need a referral or prior approval
- Services that are covered now may not be after your child reaches the age of 21
Early and Periodic, Screening, Diagnosis, and Treatment (EPSDT)
EPSDT provides a comprehensive array of prevention, diagnostic, and treatment services for low-income infants, children, and adolescents under the age of 21 years, as specified in Section 1905(a)(4)(B) of the Social Security Act (the Act) and defined in 42 U.S.C. § 1396d(r)(5) and 42 CFR 441.50 or its successive regulation.
The EPSDT benefit is more robust than the Medicaid benefit for adults and is designed to assure that children receive early detection and care so that health problems are averted or diagnosed and treated as early as possible.
Health plans are required to comply with all EPSDT requirements for their Medicaid enrollees under the age of 21 years.
EPSDT entitles Medicaid enrollees under the age of 21 years, to any treatment or procedure that fits within any of the categories of Medicaid-covered services listed in Section 1905(a) of the Act if that treatment or service is necessary to “correct or ameliorate” defects and physical and mental illnesses or conditions. This requirement results in a comprehensive health benefit for children under age 21 enrolled in Medicaid
In addition to the covered services listed above, Medicaid must provide any other medical or remedial care, even if the agency does not otherwise provide for these services or provides for them in a lesser amount, duration, or scope (42 CFR 441.57).
