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Early and Periodic Screening, Diagnostic, and Treatment
- https://www.medicaid.gov/medicaid/benefits/early-and-periodic-screening-diagnostic-and-treatment/index.html
- EPSDT is key to ensuring that children and adolescents receive appropriate preventive, dental, mental health, and developmental, and specialty services. ... It is the responsibility of states to determine medical necessity on a case-by-case basis. ... for …
Medical Necessity | EPSDT
- https://msp.scdhhs.gov/epsdt/site-page/medical-necessity
- EPSDT Medical Necessity Does NOT include: • Experimental or investigational treatments; • Services or items not generally accepted as effective; and/or not within the normal course and duration of treatment; • …
EPSDT in Medicaid : MACPAC
- https://www.macpac.gov/subtopic/epsdt-in-medicaid/
- Benefits. All children under age 21 enrolled in Medicaid through the categorically needy pathway are entitled to the Early and Periodic Screening, Diagnostic, and Treatment …
Early and Periodic Screening, Diagnostic and Screening …
- https://hcpf.colorado.gov/epsdt-manual
- For EPSDT, medical necessity includes a good or service that will or is reasonably expected to, assist the member to achieve or maintain maximum functional capacity in …
Early and Periodic Screening, Diagnostic and Treatment …
- https://hcpf.colorado.gov/early-and-periodic-screening-diagnostic-and-treatment-epsdt
- EPSDT Medical Necessity Does NOT include: Experimental or investigational treatments, Services or items not generally accepted as effective, and/or not within the normal course …
EPSDT - A Guide for States - HHS.gov
- https://www.hhs.gov/guidance/sites/default/files/hhs-guidance-documents/epsdt_coverage_guide_11.pdf
- states use this data to monitor EPSDT performance. This guide is intended to help states, health care providers and others to understand the scope of services that are covered …
State Definitions of Medical Necessity under the Medicaid EPSDT …
- https://nashp.org/state-definitions-of-medical-necessity-under-the-medicaid-epsdt-benefit/
- Medical necessity for EPSDT services is defined under 8.282.4.E For the purposes of EPSDT, medical necessity includes a good or service that will, or is reasonably …
Early and Periodic Screening, Diagnostic and Treatment …
- https://www.oregon.gov/oha/HSD/OHP/Pages/EPSDT.aspx
- Medical necessity and medical appropriateness are determined on a case-by-case basis, taking into account the member's needs. States must cover all medically necessary and …
1991-EPSDT-Medical-Necessity | Guidance Portal
- https://www.hhs.gov/guidance/document/1991-epsdt-medical-necessity
- 1991-EPSDT-Medical-Necessity. Guidance for: This letter provides clarification on Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) …
Children and Family Treatment and Support Services
- https://www.health.ny.gov/health_care/medicaid/redesign/behavioral_health/children/proposed_spa.htm
- Children and Family Treatment and Support Services. SPA services are Rehabilitative services under the EPSDT benefit and available to children/youth under the age of 21 …
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