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Children and youth services
Learn about children and youth services for Apple Health (Medicaid) clients.
On this page
What are children and youth services?
Children and youth services are also known as Early Periodic Screening, Diagnosis, and Treatment (EPSDT) and are available for Apple Health clients from birth through 20 years of age.
EPSDT is a free benefit that includes a broad set of health care services, including preventive, dental, mental health, developmental, and specialty care. EPSDT services help ensure children get the health care they need when they need it.
Learn more about EPSDT.
Who can access EPSDT?
EPSDT services are for children and youth birth through 20 years of age who are enrolled in Apple Health coverage.
Parents and caregivers who are under 21 years of age and who are on CN or MN coverage can also access EPSDT services. "Under 21" means through the day before their 21st birthday.
What services are covered?
EPSDT covers services that are medically necessary (WAC 182-500-0070). The broad set of services ensures that your child/youth has access to health care that meets their individual needs. Some covered EPSDT services include:
Other necessary health care services
EPSDT includes diagnostic and treatment services when a health issue is identified. Diagnostic services help you and your health care provider identify what services will address the health issue. This may take place during a well-child checkup or performed outside your regular checkups by a qualified health care provider.
When an issue is identified as a part of a well-child checkup, your health care provider may provide care to address the need or connect you to another provider for additional services.
How to access additional services?
When a child or youth needs a service that is not listed as a covered service or goes beyond the assigned amount of sessions, your health care provider can submit a request for additional services. Requests are reviewed on a case-by-case basis using information specific to your child or youth to determine if the services are medically necessary (WAC 182-501- 0165).
How to find a provider?
Learn how to find a provider and make your first appointment.