5101:3-14-01 "Healthchek: early and periodic screening, diagnosis, and treatment (EPSDT) services for individuals under age twenty-one.

(A) “Healthchek” is Ohio’s early and periodic screening, diagnosis, and treatment (EPSDT) program. EPSDT is federally mandated health services for medicaid-eligible persons from birth through twenty years of age. EPSDT is designed to maintain health by providing early intervention to discover and treat health problems.

(B) The scope of services provided depends on the individual’s age, gender, family medical history, ethnic background, or findings of the healthchek (EPSDT) screening or other covered medical service, as specified in Chapter 5101:3-14 of the Administrative Code.

(C) The healthchek (EPSDT) program under medicaid includes the following services:

(1) Healthchek screening services which are composed of the components described in rule 5101:3-14-03 of the Administrative Code; and

(2) Healthchek diagnosis and treatment services, defined as medically necessary in accordance with rule 5101:3-1-01 of the Administrative Code, are composed of the components described in rule 5101:3-14-05 of the Administrative Code.

Effective: 07/01/2006

R.C. 119.032 review dates: 11/10/2005 and 07/01/2011

Promulgated Under: 119.03

Statutory Authority: 5111.02

Rule Amplifies: 5111.01, 5111.02

Prior Effective Dates: 4/7/77, 9/1/87, 2/17/91, 8/1/01