Georgia Medicaid
EPSDT Health Check and Covered Pediatric Services · About this organization
What you get
Health screenings, tests, and treatment, including specialists, prescriptions, hospital care, equipment, and mental-health care.
How to start
Get in touch with the organization for current access details.
Good to know
- This coverage rule does not automatically approve every oncology drug, provider, site, transplant, trial cost, or out-of-state service.
The details, as published
For Medicaid members under 21, EPSDT or Health Check includes periodic and medically necessary interperiodic screening plus diagnostic and treatment services needed to correct or ameliorate physical or mental conditions. Relevant covered classes can include specialists, inpatient and outpatient hospital care, prescriptions, labs and imaging, home health, equipment and supplies, behavioral health, dental, vision, hearing, hospice, and transportation. Individual services may require medical-necessity review and prior approval.
What help you may get
Medical And Insurance Costs
EPSDT Health Check and Covered Pediatric Services — medical and insurance costs
For Medicaid members under 21, EPSDT or Health Check includes periodic and medically necessary interperiodic screening plus diagnostic and treatment services needed to correct or ameliorate physical or mental conditions. Relevant covered classes can include specialists, inpatient and outpatient hospital care, prescriptions, labs and imaging, home health, equipment and supplies, behavioral health, dental, vision, hearing, hospice, and transportation. Individual services may require medical-necessity review and prior approval.
Amount not published
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: GA.
Where your child is treated
Treatment must be through: Managed-care members generally use plan-network providers; non-emergency out-of-state care may require prior approval..
- Managed-care members generally use plan-network providers; non-emergency out-of-state care may require prior approval.
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.
- Contact the organization for current access details.
Ways to apply or ask
- Web Form
Documents to prepare
The program does not publish a document checklist. Ask before gathering paperwork.
Availability and timing
| Program | Active |
|---|---|
| Applications | Call To Confirm |
| Funding or space | Not Published |
| Application window | Rolling |
| Last checked | Aug 24, 2026 |
Limitations and things to confirm
- This coverage rule does not automatically approve every oncology drug, provider, site, transplant, trial cost, or out-of-state service.
- Confirm exact B-ALL protocol coverage, prior authorization, specialty pharmacy, transplant, fertility, clinical-trial costs, home care, and out-of-state treatment.
Official sources
Program details were last verified Aug 24, 2026. Availability can change, so check the official program before applying.
- EPSDT Health Check and Covered Pediatric Services · checked Aug 24, 2026
- EPSDT Health Check and Covered Pediatric Services · checked Aug 24, 2026
- EPSDT Health Check and Covered Pediatric Services · checked Aug 24, 2026