Getting good health care for your children should not be a
problem....and with the
Mississippi Cool Kids program it's not.
Mississippi Cool Kids (EPSDT)
is a FREE health care program for Mississippi's children ages birth through 21 who
are eligible for Medicaid. It provides a way for children to get medical exams,
checkups, follow-up treatment, and special care they need to make sure they enjoy
the benefits of good health. It is sponsored by the Office of the Governor, Division
of Medicaid.
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Maternal and Child Health Services
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Frequently Asked Questions: |
Download the Mississippi Cool Kids (EPSDT) Information Pamphlet |
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What Does a Mississippi Cool Kids Examination Include? |
What Other Services Does Mississippi Cool Kids Provide? |
Where can a Mississippi Cool Kids Examination be Performed? |
Your child's Mississippi Cool Kids exam will include:
- A complete physical examination
- Hearing and vision examinations
- Any shots that are needed
- Necessary blood and urine tests
- Blood lead levels
- An examination of your child's development including how he or she behaves, walks,
talks, dresses, climbs and eats
- An evaluation of your family's nutritional habits including what foods your child
and his or her family eat
- Medical referral or referral to another health care provider if special problems
are discovered during the exam
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- Preventive/restorative dental care
- Eyeglasses and hearing aids
- Adolescent counseling services
- Additional treatments and services that may be needed (such as additional office
visits, prescriptions, and other therapy services)
- Help with transportation and appointments scheduling.
The Division of Medicaid complies with all state and federal policies which prohibit
discrimination on the basis of race, age, sex, national origin, handicap, or disability
as defined through The Americans with Disabilities Act of 1990.
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A Mississippi Cool Kids examination can be performed in an Approved Mississippi
Cool Kids Clinic (listed below):
- Local County Health Departments
- Limited School Systems
- Private and Public Provider Clinics
- Federally Qualified Health Clinics (FQHC)
- Rural Health Clinics (RHC)
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How Can a Child Receive Mississippi Cool Kids Screen Services through Medicaid? |
How Often Should an Examination be Done? |
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If you have questions about Mississippi Cool Kids, or you want to find out if your
child is eligible for Medicaid, call toll-free 1-800-421-2408, or contact your nearest
Medicaid Regional Office. |
- Birth to 1 month
- 2 months
- 4 months
- 6 months
- 9 months
- 12 months
- 15 months
- 18 months
- once a year for ages 2 - 21 years
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Expanded Mississippi Cool Kids Services
includes any medical services
for children from birth to 21 that are found during a Mississippi Cool Kids exam
and are deemed medically necessary by a Medical Review Team within the Bureau of
Maternal/Child Health Services. These services include:
- Adolescent counseling services
- Additional treatments and services that may be needed
(such as additional office
visits, prescriptions, and therapy services)
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The School Health Related Services Program
was designed to identify children who have a learning problem because of a medical
problem which requires special services. Once the child is identified an IEP (Individual
Education Plan) listing services they need is then completed by the school. The
schools have employed people with special training to assist children with special
needs. Services that will be performed by the school are:
- Speech/Language Therapy and Evaluations
- Occupational Therapy and Evaluations
- Physical Therapy and Evaluations
- Psychological Evaluations
- Psychotherapy Services
- MS Cool Kids School Health Manual
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The School-Based Administrative Claiming (SBAC) Program
reimburses MS public school districts enrolled in the program, for some health care
outreach services that are not reimbursable under the School Health-Related Services
Program. |
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Early Intervention / Targeted Case Management (EI/TCM)
is an active, ongoing process that involves activities carried out by a case manager
to assist and enable a child (0 to 3 years of age) enrolled and participating in
the Mississippi Early Intervention Program gain access to needed medical, social,
educational and other services. These activities include but are not limited to:
- Arranging for and coordinating the development of the child's IFSP (Individualized
Family Service Plan)
- Arranging for the delivery of the needed services as identified in the IFSP
- Obtaining, preparing and maintaining case records, documenting contacts, service
needs, reports the child's progress, etc.
- Providing case consultation (i.e., with the service providers/collaterals in determining
child's status and progress)
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Family Planning Waiver Demonstration Program
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The Division of Medicaid Family Planning Waiver Demonstration Program originally
began on
October 1, 2003. Renewal of the Program was October 1, 2008.
Effective October 1, 2008, beneficiaries enrolled in the Family Planning Waiver
Demonstration may have a prescription for contraceptives written by any Medicaid
participating provider filled at their local Medicaid participating pharmacy.
These contraceptives include:
- Contraceptive patches
- Self-inserted contraceptive products (like NuvaRing)
- Oral contraceptive agents (pills)
- Injectable contraceptives (like Depo-Provera)
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Participants must meet the following eligibility
criteria: |
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- Have family
income at or below 185% of the Federal poverty guidelines
- Are of childbearing
age; specifically, 13 - 44 years of age.
- Must not have
had a procedure that prevents pregnancy
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Women certified as eligible for family planning services under this Demonstration
Waiver will remain Medicaid eligible with eligibility re-certification
every year.
Loss of eligibility will occur when a woman moves from the state,
becomes eligible
for another aid category, becomes pregnant, reaches the
age of 44, has a procedure done that prevents them from becoming pregnant or request
that her case be closed.
These women will be eligible for Medicaid coverage of family planning services only.
This includes one annual visit and visits related to their birth control methods.
The AVRS eligibility transaction response will identify these women as eligible
for family planning services only, in Aid Category 029 (Family Planning). They will also be issued
a yellow Medicaid Card to denote that they are in the Family Planning Waiver Demonstration
Program. These women will not be eligible to receive any other Medicaid benefits. |
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Perinatal High Risk Management/Infant Services System
(PHRM/ISS) is a multidisciplinary case management program established
to help improve access to health care and to provide enhanced services to certain
Medicaid-eligible pregnant/postpartum women and infants. The enhanced services for
this target population include case management, psychosocial and nutritional counseling/assessments,
home visits and health education.
The goal of the PHRM/ISS Program is to help reduce the infant mortality rate to
no more than 7 deaths per 1,000 live births and to help reduce the low-birth weight
rate to no more than 5% of all births. The very low-birth weight rate should be
reduced to 1% of all births.
The primary role and responsibility of the PHRM/ISS team is to ensure access to
needed services Services include but are not limited to:
- finding doctors for maternity/child care
- assisting with referrals to specialists
- reviewing delivery plans
- referring to outreach services such as WIC, Family Planning, NET, or Preventive
Health Services
- Providing Health Education/Counseling that is risk appropriate
- Home Visits
Download the
PHRM/ISS Flyer
Download the PHRM/ISS
Active Provider List |
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Vaccines for Children is a federally funded and state-operated
program that began October, 1994. The program provides vaccines free of charge to
VFC eligible children through public and private providers. (Providers are reimbursed
by Medicaid for shot administration only.) |
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