Children's Services

Early Periodic Screening Diagnosis & Treatment (EPSDT)

See also the Improving Health Outcomes for Children (IHOC) or MaineCare in Education: School-Based Services webpages.

Children's Services/EPSDT Documents

• Autism Toolkit - Caring for children with Autism Spectrum Disorders - A Resource Toolkit for Clinicians. Requires User Name and Password.
• Member Education Request Form (MERF) - This form replaces the BF 19 form used previously and is a request to educate a member about heath concerns or missed appointments.
• Pediatric Preventive Health Screenings (.pdf)
• Maine Well Child Visit Forms
• Maine Well Child Visit Form Letter (.doc)
• Maine's Parent/Patient Education Handouts

Oral Health

• D0145: Oral Evaluation of Children Three Years by Medical Providers (.pdf)
• Pediatric Oral Health: Recommended Standard of Care (.pdf)

Fluoride Varnish

• Fact Sheet for Parents (.doc)
• Overview for Health Professionals (.pdf)
• Maine Oral Health Program (Maine CDC website)

Periodic Notice and Additional Resources

• For patients ages 0-2 (.pdf)
• For patients ages 3-20 (.pdf)
• Schedule for Well Child Visits (.doc)
• Home Visit Referral Form (.doc)
• Maine Immunization Program
• New Patient Informing Letter (.pdf)
• Well Child Visit Brochure (.pdf)

Contact Trista Collins at 207-624-4094, with questions.

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