Care for Kids for Professionals
What is Care for Kids?
Care for Kids is Iowa's Early & Periodic Screening, Diagnosis & Treatment (EPSDT) Program. It is a federal program that is managed under the Center for Medicare and Medicaid Services.
The goal of Care for Kids is to ensure that children ages birth to 21 years receive preventive health care services by helping families to overcome the barriers that they face in accessing health care services. Care for Kids achieves this goal by providing care coordination services to Medicaid enrollees.
How does Care for Kids help providers?
Care for Kids provides a variety of services to clients that may be helpful to area health providers.
Care for Kids assists with the following services:
- Finding health care providers: Care for Kids staff maintain lists of medical, dental, and vision providers currently accepting Iowa Medicaid. Staff also maintain lists of other health service providers including pharmacies. In addition, staff provide guidance regarding how to find a provider that is best suited to serve the client’s needs.
- Scheduling appointments: Care for Kids staff provide step-by-step guidance regarding how to schedule a healthcare appointment. Here is a step-by-step guide describing how to schedule healthcare appointments.
Tips for Scheduling Appointments and Finding a Medical and Dental Home (768.7 KB)
- Appointment reminders: Care for Kids staff provide appointment reminders for well child exams and other appointments as requested. Here is a suggested EPSDT well child exam schedule.
Care For Kids Example Letter for Well Child Exam (77.3 KB)
Care For Kids Well Child Exam (564.4 KB)
- Transportation: Care for Kids provides transportation to and from local health care appointments for Medicaid enrollees ages birth to 21 that reside in Scott County.
- Community resources/referrals: Care for Kids staff maintain a comprehensive database of community resources and provide referrals to community resources as requested by clients.
- Health education/promotion: Care for Kids staff provide education regarding preventive health care via regular well child, dental, and vision exams.
Care For Kids needs your help too!
- Healthcare providers can help the Care for Kids Program reach its goals by becoming medical homes for their patients. A medical home provides a family with primary and regular care that integrates health promotion, acute care and chronic condition management, in a planned, coordinated, and family centered manner. The medical home is the model for 21st century primary care. If you would like to learn more about medical homes or learn how you can make your office a medical home, please visit the National Center for Medical Home Implementation at: http://www.pediatricmedhome.org/
- In order to measure Care for Kids services and clients having a medical home, it is important that healthcare offices bill Care for Kids services using EPSDT billing codes.
- To learn more about EPSDT billing codes please visit: http://www.iowaepsdt.org/Services/BillingCode.htm
- To learn more about EPSDT dental screening codes please visit: http://www.ismiledentalhome.iowa.gov/Providers.aspx
Will Care for Kids provide transportation to my office/clinic?
Care for Kids provides transportation to and from local provider’s offices/clinics for healthcare appointments that will be billed to Medicaid.Who is Eligible?
Clients are eligible for transportation services if they satisfy all three of the following:
- Are under 21 years old
- Live in Scott County
- Are enrolled in Iowa Medicaid
Each Care for Kids client is expected to follow the rules and regulations set outlined in our Transportation Agreement.
View our Transportation Agreement.
Care For Kids Transportation Rules (94.9 KB)
Care for Kids provides transportation to and from local health care appointments that will be billed to Medicaid. This includes medical, dental, vision, and mental health appointments, as well as other health care appointments.To where does Care for Kids NOT provide transportation?
Care for Kids cannot provide transportation to appointments that are NOT billed to Medicaid including:
- Women, Infants, & Children (WIC)
- Department of Human Services (DHS)
- Social Security Office
- DNA testing
- Area Education Agency (AEA)
- Evaluations for MR waiver
Care for Kids cannot provide transportation to locations that are outside of Scott and Rock Island County. In addition, Care for Kids may not be able to provide transportation to offices that are located in the outskirts of Scott and Rock Island Counties.How much does Care for Kids charge for transportation?
Care for Kids provides transportation to Iowa Medicaid enrollees who are under the age of 21 and reside in Scott County at NO CHARGE.Transportation Management Services (TMS):
Iowa Medicaid Non-Emergency Medical Transportation Program is provided by TMS Management Group Inc., and provides transportation to Iowa Medicaid enrollees of all ages. TMS is able to transport clients to long-distance healthcare appointments. TMS is affiliated with Iowa Medicaid; however they are not affiliated with Care for Kids. To learn more about the transportation services provided through TMS please call 1-866-572-7662.
How do I refer a family to the Care for Kids Program?
To make a referral to the Care for Kids Program please:
- Use this form:
Care for Kids Referral Form (177.0 KB)
- Or request a Care for Kids referral form from the Care for Kids Program via mail, email, or fax
- Fill out the Care for Kids referral form and return it by:
- Phone: 563-328-4114
- Fax 563-326-8774
- Email firstname.lastname@example.org
- You may want to make a referral to Care for Kids if you have a family that needs help:
- Finding a healthcare provider for a child
- Obtaining transportation to get a child to a healthcare appointment
- Finding and obtaining community resources
- Obtaining other care coordination services for their children