Skip to Main Content

Children's Health


Early Periodic Screening Diagnosis Treatment (EPSDT)

Heritage Health - Nebraska Total Care

Early and Periodic Screening, Diagnostic and Treatment (EPSDT) are preventive care for children under the age of 21. These are also called well-child checkups. Doctor visits when your child is well helps make sure they are growing, healthy, and safe. EPSDT is key to ensuring that children and young adults receive preventive, dental, mental health, developmental, and specialty services.

EARLY: Treat problems soon.

PERIODIC: Set up regular appointments.

SCREENING: Check for a medical problem.

DIAGNOSIS: Find a medical problem.

TREATMENT: Care for a problem.


Why are EPSDT screenings important?

Well-child checkups are important for your child’s health. Your child can look and feel well but still have a health problem. During your child’s appointment, their PCP will check:

  • Growth 
  • Development
  • Learning
  • Ears and eyes
  • Diet
  • Immunizations
  • Test records

Set up well-child visits when your child is:

  • 3‑5 days old
  • 1 month old
  • 2 months old
  • 4 months old
  • 6 months old
  • 9 months old
  • 12 months old
  • 15 months old
  • 18 months old
  • 24 months old
  • 30 months old
  • Annually through age 20

All children should be tested for lead poisoning with a blood test before they are two years old. You or your children may look healthy. But you can still have high levels of lead in your blood. The only way to know for sure is to have a blood test done by a healthcare provider.

Lead hurts kids:

  • Sometimes you may not notice any signs of lead poisoning in children.
  • Behavior, learning, and sleep problems may be caused by lead.
  • Other signs: clumsiness, weakness, headaches, and hearing problems. It can also cause slow growth, stomach problems, seizures, and coma.

Immunizations are one of the best ways to protect against diseases. Immunization-preventable diseases can be very serious, may require hospitalization, or even be deadly. They are extremely important for all children, babies through adolescence. 

Immunization schedule
Age Immunizations
Birth Hep B
1 month Hep B
2 months  DTap, Hib, IPV, PCV, Rota 
4 months DTaP, Hib, IPV, PCV, Rota
6 months Hep B, DTaP, Hib, IPV, PCV, Influenza, Rota
12 months Hib, PCV, MMR, Varicella, Hep A Series
15 months DTaP
4-6 years DTaP, IPV, MMR, Varicella
11-12 years Tdap or Td, MCV, HPV (3 doses)
13-18 years Tdap or Td, MCV, HPV series (catch-up)
Every year Influenza (after 6 months)

Dental care is also important for children. Children on Nebraska Medicaid have dental coverage. It is not covered by Nebraska Total Care.

The dental plan for Nebraska Medicaid is MCNA Dental. To get information about your dental benefit you can call them. The phone number is 1-844-351-6262, TTY 1-800-833-7352. You can call Monday to Friday, 7 a.m. to 7 p.m.