Ohio Medicaid: Child wellness visits

Members under age 21 can get any medically necessary health service to treat, prevent, or improve a health problem. This special set of benefits is called Early and Periodic Screening, Diagnostic and Treatment (EPSDT) services. Healthchek is Ohio’s EPSDT program.

Healthchek covers:

• 10 checkups in the first 2 years of life
• Annual checkups for Medicaid recipients in Ohio between the ages of 2 and 20

Typically, your child’s doctor will ask you to bring in your child for regular wellness visits. These visits typically occur at birth and when your child is:

• Newborn
• 3–5 days old for newborns discharged less than 48 hours after delivery
• 1 month old
• 2 months old
• 4 months old
• 6 months old
• 9 months old
• 12 months old
• 15 months old
• 18 months old
• 24 months old
• 30 months old
• Once every year for ages 3–20

A Healthchek examination includes:

• Complete unclothed exam (with parent/guardian approval)
• Dental screening
• Developmental screening (to assess if the child’s physical and mental abilities are age appropriate)
• Hearing assessment
• Immunization (vaccine) assessment, to make sure the child gets necessary vaccines as scheduled
• Lead screening (see below for more information)
• Medical history
• Other services or screenings as needed
• Vision screening

Healthchek and pregnancy-related services information sheet , PDF

Learn more about Ohio’s Healthchek program

Children enrolled in Humana Healthy Horizons^® in Ohio are eligible to earn rewards for having well-child visits. Members can then redeem rewards for e-gift cards. To earn rewards:

• Download the Go365 for Humana Healthy Horizons^® App
• Create an account to access and engage in the program

Please note: Members under the age of 18 must have a parent or guardian register on their behalf to participate and engage with the program, and the person completing the registration process on behalf of a minor must have the minor’s Medicaid Member ID.

Learn more about Go365 for Humana Healthy Horizons

View and download a list of eligible activities and up to how much in rewards you can earn through Go365 for Humana Healthy Horizons for different activities, including child well visits , PDF

According to the Centers for Disease Control and Prevention (CDC), “most parents vaccinate their children … protecting them from 14 potentially serious diseases before their second birthday. Vaccinating children on time protects them and anyone around them with a weakened immune system.”¹

Vaccines are part of child well visits. Vaccines are free for Medicaid recipients 21 years and younger in Ohio. Talk to your doctor about what vaccines your child needs depending on his or her age.

View the recommended child and adolescent vaccine schedule for children 18 years and younger

Federal regulation requires that all children receive a blood test for lead at:

• 12 months and 24 months
• 36 months and 72 months for children who have not had a previous blood lead screening

Learn more about required blood lead screenings for children

• Make and keep appointments with your child’s doctor when your child is well, not just when your child is sick
• Talk to your child’s doctor about any concerns you have