Ohio Department of Medicaid
Healthchek And Pregnancy Related Services Information Sheet
Ohio Medicaid Managed Care Plans
HealthChek - Check It Out!
Did you know Ohio’s Medicaid program include Healthchek services for children up to 21 years of age? (These services are also called EPSDT sometimes.) Healthchek services help children stay healthy and reduce the chances of sickness by treating health problems early. All Healthchek services are free. You can get help and information by contacting your county Healthchek Coordinator, or your managed care plan, and by going to: http://medicaid.ohio.gov/FOROHIOANS/Programs/Healthchek.aspx
Doctors want children to have well-child check-ups (exams or screenings) while they are growing up so that health problems can be found early. Check-ups covered by Healthchek include:
- physical exams
- nutrition screenings
- vision exams
- mental health screenings
- dental exams
- developmental screenings
- hearing exams
- immunizations, if needed
Mothers should have prenatal exams and children should have exams at: birth, 3 to 5 days of age, and at 1, 2, 4, 6, 9, 12, 15, 18, 24, and 30 months of age. After that, children should have at least one exam per year. All children should have tests for lead poisoning.
If the doctor finds a problem during a check-up, the doctor may provide the treatment, or may refer you to another doctor. Healthchek covers treatment services. Some services may need prior approval. Your doctor will request prior approval from your managed care plan. If you disagree with the decision made by your managed care plan, you can ask for an appeal. Check with your managed care plan for more information about appeals.
The names, addresses, and phone numbers of Healthchek Coordinators for all counties can be found at: http://medicaid.ohio.gov/Portals/0/For%20Ohioans/Programs/CountyCoordinators.pdf or by calling your County Department of Job and Family Services. If you need to find a doctor, dentist, or other health care provider, your managed care plan can help you. The managed care plan can help make doctors’ appointments, and may provide transportation to the doctor. You can go to the managed care plan’s website for more information.
You can ask your Healthchek Coordinator to make referrals for you to Head Start, the Women, Infants, and Children (WIC) program, Help Me Grow, and the Bureau for Children with Medical Handicaps. Your Healthchek Coordinator, and your managed care plan, can give you the names of other agencies that can help you get clothing, housing, food, and other services. You may also submit questions using an online form found at: http://medicaid.ohio.gov/CONTACT.aspx.
Please fill out the following information in order to help us provide Healthchek services to you and/or your child. If you do not understand some or all of this form, please contact CareSource Member Services at 1-800-488-0134 (TTY: 1-800-750-0750 or 711) or your county Healthchek Coordinator.