Pediatric Services

Child and youth members under 21 years old can get special health services as soon as they are enrolled.
This makes sure they get the right preventive, dental, mental health and developmental and specialty services.

Pediatric services (Children under age 21)

Members under 21 years old are covered for needed care.

The list below includes medically necessary services to treat or care for any defects and physical or mental diagnoses.
Covered services include but are not limited to:

  • Well-child visits and teen check-ups (Important visits children need)
  • Immunizations (shots)
  • Behavioral health assessment and treatment
  • Mental health evaluation and treatment, including individual, group and family psychotherapy (specialty mental health services are covered by the county)
  • Adverse childhood experiences (ACE) screening
  • Lab tests, including blood lead poisoning testing
  • Health and preventive education
  • Vision services
  • Dental services (covered under Medi-Cal Dental)
  • Hearing services (covered by California Children’s Services (CCS) for children who qualify. L.A. Care will cover services for children who do not qualify for CCS)

These services are called Early and Periodic Screening, Diagnostic and Treatment (EPSDT) services. EPSDT services that are recommended by pediatricians’ Bright Futures guidelines to help you or your child stay healthy are covered at no cost to you.