Health Check Information for Providers

Manager - Darryl Frazier
919-647-8170
Fax 919-715-5235

North Carolina expanded the federal Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program (which has been in existence since Medicaid began) to form the Health Check program in 1993. EPSDT serves as the standard for providing healthcare to Medicaid recipients under the age of 21. The purpose of the Health Check program is to facilitate regular preventive medical care and the diagnosis and treatment of any health problem found during a screening. There is no separate enrollment in Health Check. If someone is eligible for Medicaid and is under the age of 21, they automatically receive Health Check services.

Health Check Strategies
Health Check Outreach Project
Health Check Automated Information and Notification System

For additional information on the Health Check Program, refer to the Health Check Program Policy and Procedure Manual

Health Check Billing Guides:

• April 2008, Special Bulletin II
• June 2007, Special Bulletin I
• April 2006, Special Bulletin I
• April 2005, Special Bulletin III
• April 2004, Special Bulletin I
• April 2003, Special Bulletin I
• July 2002, Special Bulletin III

Health Check and EPSDT Consumer Information

Health Check Quick Links

• Health Check Coordinator Directory
• Health Check Coordinators - AINS Users Guide
• Health Check Participation Data
• CMS 416 Reports
• EPSDT Provider Information

Other Quick Links

• General and Special Medicaid Bulletins
• Basic Medicaid Billing Guide
• Provider Forms
• Clinical Coverage Policies
• Proposed Policies