Skip to Main Content

EPSDT

Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Quick Reference

Content to reflect American Academy of Pediatric, CMS, and state guidance.

Heritage Health - Nebraska Total Care 

Nebraska Total Care strives to provide quality healthcare to our membership as measured through Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) and Healthcare Effectiveness Data and Information Set (HEDIS) outcome measures. The information on this page is to assist your practice with increasing your EPSDT participation and screening rates.

This page describes key EPSDT exam components and provides guidance on how to bill appropriately. Please always follow the State and CMS billing guidance and ensure the EPSDT codes are covered prior to submission.

EPSDT Billing Guide (PDF)