Benefit Plans | Service Definitions

Benefit Plan Information

• I/DD Benefit Plan
• MH/SU Benefit Plan

Service Definitions 

• Service Definitions
• Medicaid Clinical Coverage Policies
• B3 Service Definitions
  • Clinical Communication Bulletin #37
  • B(3) Transitioning to 1915(i)
• 1915i Home and Community-Based Services
  • Clinical Communication Bulletin #37
  • B(3) Transitioning to 1915(i)

In Lieu of Services (ILOS) and Alternative Services

• ILOS Benefit Plan

Service Definitions

Services for Medicaid–Eligible Children: Early and Periodic Screening, Diagnosis and Treatment (EPSDT)

Medicaid covers a broad array of health and dental services for those under age 21. A federal law requires Medicaid to provide all medically necessary health care services to Medicaid-eligible children. This is called Early and Periodic Screening, Diagnosis, and Treatment (EPSDT), which is known in North Carolina as "Health Check." The services are required even if the services are not normally covered by the children's Medicaid.

For more information about Health Check and EPSDT in North Carolina, visit our page Early and Periodic Screening, Diagnosis and Treatment (EPSDT)

Trillium welcomes feedback regarding the current Benefit Plans and Service Definitions. Feedback and recommendations will be taken into consideration and can be sent to QMinfo@TrilliumNC.org.