South Carolina: Child well-being

Keeping your kids healthy shouldn’t be hard. Yet it often is. We want to catch problems early and help kids stay healthy. Members under age 21 can get any health service that treats, prevents, or improves a health problem at no cost. This is a special set of benefits known as Early and Periodic Screening, Diagnostic and Treatment (EPSDT) services. 

Members who get EPSDT benefits:

• Can get EPSDT services through their health plan
• Do not have to pay copays for EPSDT services
• Can get help to schedule appointments 
• Can get help arranging for free transportation to and from their appointments

Some EPSDT services may require approval first. This is called prior authorization. To learn which services may need prior authorization, call Member Services at 866-432-0001 (TTY: 711), Monday – Friday, 8 a.m. – 8 p.m., Eastern time.

EPSDT services include: 

• Health and immunization history
• Physical exams
• Health assessments and counseling
• Lab and screening tests
• Follow-up care
• Applied behavioral analysis (ABA) services
• And more! 

If you have questions about EPSDT services, talk with your child’s primary care provider (PCP). 

Learn more about EPSDT in South Carolina opens in new window

Child wellness visit schedule

We recommend regular child health appointments on the following schedule:

• Infancy: younger than 1 month, 2 Months, 4 months, 6 months, 9 months, 12 months
• Early childhood: 15 months, 18 months, 24 months, 30 months, 3 years and 4 years
• Middle childhood and adolescence: once a year for ages 5 to 20 
• Eligibility: Enrollees can get these services through the end of the month they turn 21

These visits help your child’s doctor detect, diagnose and treat health problems as early as possible. Children older than 24 months through age 20 can have an in-person or virtual care (telehealth) visit, if the doctor offers this service.

Well-being visits can include:

• Dental screenings
• Growth measurements
• Immunizations and vaccines
• Other important tests and services
• Physical exams
• Preventive and comprehensive services
• Referrals for diagnosis and treatment, if necessary
• Vision and hearing screenings

If your child has a virtual care (telehealth) visit, the doctor will set up a follow-up in-person visit for a physical exam, vaccines and other important tests and services that cannot be done during a virtual care (telehealth) visit.

Learn more about virtual care visits

Remember to: 

• 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

Resources to help you learn more

2025 Recommended immunizations for children from birth through 6 years old – English pdf opens in new window
2025 Recommended immunizations for children from birth through 6 years old – Spanish pdf opens in new window

2025 Recommended immunizations for children 7–18 years old – English pdf opens in new window
2025 Recommended immunizations for children 7–18 years old – Spanish pdf opens in new window

Go365 for Humana Healthy Horizons

Minors 0 to 18 can earn rewards through Go365 for Humana Healthy Horizons^® for seeing their pediatrician or PCP as part of a routine well visit.

To earn rewards:

• Download the Go365 for Humana Healthy Horizons app for Apple^® iOS opens in new window or Android opens in new window .
• Create an account to access and engage in the program

Members under the age of 18 must have a parent or guardian register for them to participate and engage with the program, and the person completing the registration process for a minor must have the minor’s Medicaid Member ID.

Learn more about Go365 for Humana Healthy Horizons

Go365 for Humana Healthy Horizons is available to all who meet the requirements of the program. Rewards are not used to direct you to select a certain provider. Rewards have no cash value. The monetary amounts listed above are reward values, not actual dollars. For some rewards, your doctor has to tell us that you completed the healthy activity. Once we get this information from your doctor, you will see in the app the option to redeem the reward. For any reward you qualify to earn during the current plan year, we must get confirmation from your doctor by no later than March 15 of the following plan year.

Gift cards cannot be used to purchase prescription drugs or medical services that are covered by Medicare, Medicaid, or other federal healthcare programs; gambling, alcohol; tobacco; e-cigarettes; or firearms. Gift cards must not be converted to cash. Rewards may be limited to once per year, per activity.

KidsHealth consumer library

The KidsHealth consumer video library opens in new window  includes personal stories to help parents, kids, and teens understand medical diagnoses. The library has information about chronic and serious health conditions, including:

• Asthma
• Diabetes
• Medications
• Pain management
• Seizures
• Weight management