{"id":41775,"date":"2024-04-21T22:41:39","date_gmt":"2024-04-22T02:41:39","guid":{"rendered":"https:\/\/www.vayahealth.com\/?page_id=41775"},"modified":"2025-11-05T12:55:31","modified_gmt":"2025-11-05T17:55:31","slug":"epsdt","status":"publish","type":"page","link":"https:\/\/www.vayahealth.com\/es\/benefits-services\/improve-your-wellness\/epsdt\/","title":{"rendered":"Detecci\u00f3n, diagn\u00f3stico y tratamiento precoz y peri\u00f3dico (EPSDT)"},"content":{"rendered":"<section class=\"gb-container gb-container-69466be4 child-family-page\"><div class=\"gb-inside-container\">\n<div class=\"gb-container gb-container-b4e1ac4f\"><div class=\"gb-inside-container\">\n\n<p>El Vaya cubre los servicios, productos y procedimientos para los miembros de Medicaid menores de 21 a\u00f1os si el servicio es m\u00e9dicamente necesario para corregir, prevenir, tratar o mejorar una enfermedad, afecci\u00f3n o defecto f\u00edsico o mental detectado mediante un examen de detecci\u00f3n precoz y peri\u00f3dica (EPSDT).<\/p>\n\n<\/div><\/div>\n\n\n<div>\n<h2 class=\"gb-text\">\u00bfQu\u00e9 es EPSDT?<\/h2>\n\n\n\n<p>EPSDT es una prestaci\u00f3n de Medicaid que garantiza la disponibilidad de los servicios sanitarios necesarios para ni\u00f1os y adolescentes menores de 21 a\u00f1os, aunque Medicaid de Carolina del Norte no cubra normalmente el servicio.<\/p>\n<\/div>\n\n\n<div class=\"gb-container gb-container-b07f9123\"><div class=\"gb-inside-container\">\n\n<h3 class=\"gb-headline gb-headline-d5e05ffd gb-headline-text\">Detecci\u00f3n precoz y peri\u00f3dica<\/h3>\n\n\n\n<p>Los primeros a\u00f1os de la vida de un ni\u00f1o son importantes para su bienestar f\u00edsico, social y emocional. Es importante que los ni\u00f1os y adolescentes se sometan peri\u00f3dicamente a ex\u00e1menes m\u00e9dicos y pruebas de detecci\u00f3n. Estos servicios preventivos son gratuitos e incluyen un examen completo, vacunas y pruebas de visi\u00f3n y audici\u00f3n. En estas visitas, el m\u00e9dico comprueba el crecimiento, la salud f\u00edsica y la salud emocional de su hijo. Si hay alg\u00fan problema, el m\u00e9dico puede remitir a su hijo a los tratamientos necesarios.<\/p>\n\n\n\n<h3 class=\"gb-headline gb-headline-4690c2ac gb-headline-text\">Servicios de diagn\u00f3stico<\/h3>\n\n\n\n<p>Si en un cribado se detecta alg\u00fan problema, hay servicios de diagn\u00f3stico disponibles para averiguar (diagnosticar) cu\u00e1l es el problema de salud y poder tratarlo.<\/p>\n\n\n\n<h3 class=\"gb-headline gb-headline-51d49e63 gb-headline-text\">Servicios de tratamiento<\/h3>\n\n\n\n<p>Es posible que tengamos que verificar que el tratamiento es m\u00e9dicamente necesario para mejorar la enfermedad o la salud general de su hijo. Esto se denomina autorizaci\u00f3n previa. Si el tratamiento es necesario para la salud de su hijo, Vaya no denegar\u00e1 un servicio s\u00f3lo porque no est\u00e9 incluido en nuestra p\u00f3liza de cobertura habitual.<\/p>\n\n<\/div><\/div>\n\n<div class=\"gb-container gb-container-faa3fe71\"><div class=\"gb-inside-container\">\n\n<h2 class=\"gb-headline gb-headline-b449916c gb-headline-text\">\u00bfQu\u00e9 cubre el programa EPSDT?<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Servicios integrales de detecci\u00f3n de enfermedades (revisiones del ni\u00f1o sano, pruebas de desarrollo e inmunizaciones)<\/li>\n\n\n\n<li>Servicios dentales (el dentista facturar\u00e1 directamente a NC Medicaid)<\/li>\n\n\n\n<li>Educaci\u00f3n sanitaria<\/li>\n\n\n\n<li>Servicios de audici\u00f3n (incluidos el diagn\u00f3stico y el tratamiento de defectos auditivos, incluidos los aud\u00edfonos)<\/li>\n\n\n\n<li>Servicios sanitarios a domicilio<\/li>\n\n\n\n<li>Servicios de cuidados paliativos<\/li>\n\n\n\n<li>Servicios de hospitalizaci\u00f3n y ambulatorios<\/li>\n\n\n\n<li>Servicios de laboratorio y rayos X<\/li>\n\n\n\n<li>Servicios de salud mental<\/li>\n\n\n\n<li>Servicios de atenci\u00f3n personal<\/li>\n\n\n\n<li>Fisioterapia y terapia ocupacional<\/li>\n\n\n\n<li>Medicamentos con receta<\/li>\n\n\n\n<li>Pr\u00f3tesis<\/li>\n\n\n\n<li>Servicios de rehabilitaci\u00f3n y terapia para trastornos del habla, la audici\u00f3n y el lenguaje<\/li>\n\n\n\n<li>Transporte de ida y vuelta a las citas m\u00e9dicas<\/li>\n\n\n\n<li>Servicios oftalmol\u00f3gicos (incluidas las gafas)<\/li>\n<\/ul>\n\n\n\n<h3 class=\"gb-headline gb-headline-182b1018 gb-headline-text\">Las caracter\u00edsticas de EPSDT incluyen:<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Sin copagos<\/strong>: No hay copagos para los afiliados a Medicaid menores de 21 a\u00f1os.<\/li>\n\n\n\n<li><strong>Renuncia a los l\u00edmites de servicio<\/strong>: No hay l\u00edmites en cuanto a la frecuencia con la que se puede prestar un servicio o el n\u00famero de servicios que se pueden recibir en un d\u00eda.<\/li>\n\n\n\n<li><strong>Centros de servicio flexibles<\/strong>: Las restricciones de las pol\u00edticas de cobertura cl\u00ednica, como la ubicaci\u00f3n del servicio (como los servicios de atenci\u00f3n personal s\u00f3lo en el domicilio), las prohibiciones de m\u00faltiples servicios el mismo d\u00eda o a la misma hora (como el tratamiento diurno y el tratamiento residencial) tambi\u00e9n deben quedar exentas en virtud de EPSDT siempre que los servicios sean m\u00e9dicamente necesarios para corregir o mejorar un defecto, una enfermedad f\u00edsica o mental o una afecci\u00f3n.<\/li>\n\n\n\n<li><a href=\"https:\/\/medicaid.ncdhhs.gov\/epsdt\" target=\"_blank\" rel=\"noopener\" title=\"\">P\u00e1gina web de Well-Child<\/a>: Medicaid de Carolina del Norte sigue el programa de periodicidad Bright Futures de la Academia Americana de Pediatr\u00eda, pero tambi\u00e9n recomienda un programa mejorado de ex\u00e1menes del desarrollo. Las recomendaciones mejoradas de Carolina del Norte para los ex\u00e1menes del desarrollo incluyen ex\u00e1menes del desarrollo a los 6 meses, 12 meses, 18 meses, 24 meses, 36 meses, 48 meses y 60 meses.<\/li>\n<\/ul>\n\n<\/div><\/div>\n\n\n<div>\n<h2 class=\"gb-headline gb-headline-8b6c8d3b gb-headline-text\">M\u00e1s recursos sobre EPSDT<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.ncdhhs.gov\/providers\/provider-information\/mental-health-development-disabilities-and-substance-abuse-services\/early-periodic-screening-diagnostic-and-treatment-medicaid-services-children\" target=\"_blank\" rel=\"noopener\" title=\"\">Servicios de Medicaid de detecci\u00f3n, diagn\u00f3stico y tratamiento peri\u00f3dicos precoces para ni\u00f1os<\/a> informaci\u00f3n en el sitio web de Medicaid de Carolina del Norte.<\/li>\n\n\n\n<li><a href=\"https:\/\/medicaid.ncdhhs.gov\/epsdt\" target=\"_blank\" rel=\"noopener\" title=\"\">Visitas de bienestar y servicios de diagn\u00f3stico y tratamiento<\/a> informaci\u00f3n en el sitio web de Medicaid de Carolina del Norte.<\/li>\n<\/ul>\n<\/div>\n\n\n\n<div>\n<h2 class=\"gb-headline gb-headline-7b63f1f1 gb-headline-text\">\u00bfNecesita ayuda o tiene alguna pregunta?<\/h2>\n\n\n\n<p>Si tiene preguntas sobre EPSDT, hable con el m\u00e9dico de atenci\u00f3n primaria de su hijo. Tambi\u00e9n puede informarse en la p\u00e1gina <a href=\"https:\/\/medicaid.ncdhhs.gov\/medicaid\/get-started\/find-programs-and-services-right-you\/medicaids-benefit-children-and-adolescents\" target=\"_blank\" rel=\"noopener\" title=\"\">P\u00e1gina web de Medicaid EPSDT de Carolina del Norte<\/a>.<\/p>\n<\/div>\n\n<\/div><\/section>","protected":false},"excerpt":{"rendered":"<p>Vaya Health Los miembros de Medicaid menores de 21 a\u00f1os tienen acceso a una amplia gama de prestaciones sanitarias federales denominadas Servicios de detecci\u00f3n, diagn\u00f3stico y tratamiento precoz y peri\u00f3dico (EPSDT).<\/p>","protected":false},"author":62,"featured_media":42532,"parent":22469,"menu_order":61,"comment_status":"closed","ping_status":"closed","template":"breadcrumbs","meta":{"_tec_requires_first_save":true,"_price":"","_stock":"","_tribe_ticket_header":"","_tribe_default_ticket_provider":"","_tribe_ticket_capacity":"0","_ticket_start_date":"","_ticket_end_date":"","_tribe_ticket_show_description":"","_tribe_ticket_show_not_going":false,"_tribe_ticket_use_global_stock":"","_tribe_ticket_global_stock_level":"","_global_stock_mode":"","_global_stock_cap":"","_tribe_rsvp_for_event":"","_tribe_ticket_going_count":"","_tribe_ticket_not_going_count":"","_tribe_tickets_list":"[]","_tribe_ticket_has_attendee_info_fields":false,"_EventAllDay":false,"_EventTimezone":"","_EventStartDate":"","_EventEndDate":"","_EventStartDateUTC":"","_EventEndDateUTC":"","_EventShowMap":false,"_EventShowMapLink":false,"_EventURL":"","_EventCost":"","_EventCostDescription":"","_EventCurrencySymbol":"","_EventCurrencyCode":"","_EventCurrencyPosition":"","_EventDateTimeSeparator":"","_EventTimeRangeSeparator":"","_EventOrganizerID":[],"_EventVenueID":[],"_OrganizerEmail":"","_OrganizerPhone":"","_OrganizerWebsite":"","_VenueAddress":"","_VenueCity":"","_VenueCountry":"","_VenueProvince":"","_VenueState":"","_VenueZip":"","_VenuePhone":"","_VenueURL":"","_VenueStateProvince":"","_VenueLat":"","_VenueLng":"","_VenueShowMap":false,"_VenueShowMapLink":false,"_tribe_blocks_recurrence_rules":"","_tribe_blocks_recurrence_description":"","_tribe_blocks_recurrence_exclusions":"","banner-text":"","banner-text-color":"","button-text":"","button-text-color":"","button-link":"","has-button-icon":"","background-color":"","has-background-icon":"","background-icon-color":"","second-featured-image":"","footnotes":""},"class_list":["post-41775","page","type-page","status-publish","has-post-thumbnail","hentry"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- 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