North Dakota Health Tracks, also known as the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit provides routine physicals or well-child check-ups at specified ages. It is considered preventive care.
Preventive care is as important for your child's health. All children and teens need regular check-ups. Getting regular well-child check-ups helps children and teens stay healthy by:
- Finding health concerns before they become serious.
- Preventing illness by making sure children get the health care
The federal guidelines for EPSDT are available at www.medicaid.gov.
Who is Eligible?
Children birth through age 20 years who are enrolled in Medicaid.
To see if you are eligible for North Dakota Medicaid see income guidelines. Check with your provider of choice to confirm that they accept North Dakota Medicaid.
What services are provided?
Initial and periodic health check-ups including, but not limited to, the following:
- Physical exams
- Hearing and vision checks
- Glasses and hearing aids
- Vaccines (shots) and labs
- Dental care, braces, fluoride varnish
- Health education
- Behavioral health screenings
- Growth and development checks
- Nutrition counseling
- Other health services
When should my child get an EPSDT Exam?
Children should get EPSDT exams at regular times, even when they are feeling well.
Babies grow fast and need a lot of EPSDT exams. They need exams at:
- 1 month
- 2 months
- 4 months
- 6 months
- 9 months
- 12 months
Toddlers need exams at:
- 15 months
- 18 months
- 24 months
- 30 months
After 30 months, children need an EPSDT exam at ages 3, 4, 5, 6 and then annually up to age 21. Additional exams are also covered based upon a child's needs.
Health Tracks benefits may be available to Medicaid enrollees at no charge.
Households with a client share may be responsible for the cost of some services. Client share is a monthly amount a person must pay in medical bills before the Medicaid program will pay for medical care received.
Medical Services Division
North Dakota Health and Human Services
600 E. Boulevard Ave., Dept. 325
Bismarck, ND 58505-0250
Phone: (701) 328-7068
Toll-Free: (800) 755-2604
Fax: (701) 328-1544
E-mail: dhsmed@nd.gov
711 (TTY)