CHDP and Pediatric Preventive Program Billing
California's Child Health and Disability Prevention (CHDP) preventive services have transitioned into Medi-Cal and the EPSDT benefit, changing how well-child visits, screenings, and immunizations are authorized and billed. Quantix Health helps Southern California pediatric and family practices bill age-appropriate preventive care cleanly through Medi-Cal managed care under the current framework.
- EPSDT well-child and periodicity visit billing
- Immunization and age-appropriate screening claims
- Medi-Cal managed care preventive submission support
Specialty expertise, not generic billing
Periodicity schedule
We help align well-child visits to the recommended periodicity schedule so age-appropriate preventive services are billed at the right intervals.
Screenings and assessments
We support coding for age-appropriate developmental, blood lead, vision, hearing, and oral health screenings so each component is captured and credited.
Immunization capture
We help ensure administered immunizations and their administration codes are billed correctly alongside the preventive visit.
Medi-Cal transition
We help practices adapt billing from legacy CHDP processes to the current Medi-Cal and EPSDT framework and each managed care plan's requirements.
Where CHDP and pediatric preventive programs lose revenue
These are the specialty-specific leaks we watch for — and fix at the root.
- The move from legacy CHDP processes into Medi-Cal and EPSDT changed authorization and billing pathways that some practices still bill the old way.
- Well-child visits missing the required screening components are down-coded or denied for incompleteness.
- Blood lead, developmental, vision, hearing, and oral health screenings are easy to overlook and under-bill.
- Immunization administration codes are often omitted or mismatched with the vaccines given.
- Periodicity-schedule timing errors cause preventive visits to fall outside covered intervals.
- Managed care plan enrollment and eligibility variation complicates where and how pediatric preventive claims are submitted.
Full support for CHDP and pediatric preventive programs
One accountable partner for billing and the business side of your practice.
Revenue Cycle Management
End-to-end RCM — eligibility, coding, claims, denials, A/R, posting, and reporting, all under one roof.
Learn moreCredentialing & Enrollment
Payer enrollment and credentialing so your providers can bill without delay.
Learn moreMedical Support Staffing
Vetted, remote billers, coders, and back-office staff — dedicated to your practice, when and where you need them.
Learn morePractice Management Consulting
Operational, financial, and compliance consulting to run a healthier, more profitable practice.
Learn moreCommon questions
How has CHDP billing changed?
California's CHDP preventive services have transitioned into Medi-Cal and the EPSDT benefit, so pediatric well-child care is now billed largely through Medi-Cal managed care rather than legacy CHDP processes. We help practices update workflows to the current framework.
What preventive services do you help bill for children?
We support age-appropriate well-child visits, immunizations, and screenings such as developmental, blood lead, vision, hearing, and oral health, aligned to the recommended periodicity schedule. We help capture each component so visits are not down-coded for incompleteness.
Why are our pediatric preventive claims getting denied or down-coded?
Common causes include missing screening components, omitted immunization administration codes, and visits billed outside the periodicity schedule. We review these gaps and align claims to plan requirements, and we recommend verifying current DHCS and plan guidance as the transition continues.
Billing guides for CHDP and pediatric preventive programs
Let's strengthen your chdp / child health revenue
Book a free, no-obligation consultation. We'll review your billing and show you the opportunity — no pressure.