Florida Agency for Health Care Administration
Medicaid EPSDT Under-21 Services · About this organization
What you get
Medically necessary treatment to improve physical or mental health conditions, with no copayment for approved child services.
How to start
Call the program to ask about medicaid EPSDT Under-21 Services.
The details, as published
Florida Medicaid EPSDT covers medically necessary treatment within federal Medicaid service categories when needed to correct or ameliorate a physical or mental condition for enrolled people under 21. AHCA states approved child services have no copayment, waitlist, total approved-service limit, or provider-visit limit, although referrals or prior approval may be required.
What help you may get
Medical And Insurance Costs
Medicaid EPSDT Under-21 Services — medical and insurance costs
Florida Medicaid EPSDT covers medically necessary treatment within federal Medicaid service categories when needed to correct or ameliorate a physical or mental condition for enrolled people under 21. AHCA states approved child services have no copayment, waitlist, total approved-service limit, or provider-visit limit, although referrals or prior approval may be required.
Amount not published
Navigation Guides And Advocacy
Medicaid EPSDT Under-21 Services — navigation guides and advocacy
Florida Medicaid EPSDT covers medically necessary treatment within federal Medicaid service categories when needed to correct or ameliorate a physical or mental condition for enrolled people under 21. AHCA states approved child services have no copayment, waitlist, total approved-service limit, or provider-visit limit, although referrals or prior approval may be required.
Amount not published
Why this may help
Medical And Insurance Costs: EPSDT can cover medically necessary treatment to improve or manage your child's condition.
Check the main eligibility rules
Diagnosis
B-ALL is in scope. The official program scope includes U.S. children with cancer, which includes pediatric B-ALL when the stated eligibility rules are met.
Age
Age 0 to age 20, measured at application.
Treatment status
No specific treatment status is published.
Where you live and where your child is treated
Where your family lives
You must live in: FL.
Where your child is treated
No treatment-location restriction is published.
How to get started
Does a social worker or care team need to start it? No. A required care-team start is not published; the family can use the available route below.
- Ask the child’s doctor, health plan, county health department, community health center, or Medicaid Helpline about the needed EPSDT service.
Ways to apply or ask
- Hospital Workflow
- Phone · Open form or page · 1-877-254-1055 — Medicaid Helpline for the specific covered-service route; families may also call the child's doctor, health plan, county health department, or community health center.
Documents to prepare
The program does not publish a document checklist. Ask before gathering paperwork.
Availability and timing
| Program | Active |
|---|---|
| Applications | Not Published |
| Funding or space | Not Published |
| Application window | Rolling |
| Last checked | Aug 24, 2026 |
Limitations and things to confirm
No additional limitations are published.
- Which oncology-related services require plan referral or prior approval?
Official sources
Program details were last verified Aug 24, 2026. Availability can change, so check the official program before applying.
- Medicaid EPSDT Under-21 Services · checked Aug 24, 2026