Epsdt Medically Necessary

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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

Early and Periodic Screening, Diagnostic, and Treatment. The Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit provides comprehensive and preventive health care services for children under age 21 who are enrolled in …

Early Periodic Screening, Diagnosis, and Treatment

https://mchb.hrsa.gov/programs-impact/early-periodic-screening-diagnosis-treatment

In particular, coordination with the Medicaid Early Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit is required. The EPSDT benefit provides comprehensive …

EPSDT - A Guide for States - HHS.gov

https://www.hhs.gov/guidance/sites/default/files/hhs-guidance-documents/epsdt_coverage_guide_11.pdf

EPSDT also requires coverage of medically necessary “interperiodic” screening outside of the state’s periodicity schedule. Coverage for such screenings is required based on …

State Definitions of Medical Necessity under the Medicaid EPSDT …

https://nashp.org/state-definitions-of-medical-necessity-under-the-medicaid-epsdt-benefit/

EPSDT services include screening services, vision services, dental services, hearing services and all other medically necessary mandatory and optional services listed in …

EPSDT in Medicaid : MACPAC

https://www.macpac.gov/subtopic/epsdt-in-medicaid/

All children under age 21 enrolled in Medicaid through the categorically needy pathway are entitled to the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit, …

Provider Information | Medi-Cal for Kids & Teens

https://www.dhcs.ca.gov/services/Medi-Cal-For-Kids-and-Teens/Pages/Provider-Information.aspx

Medi-Cal for Kids & Teens (the EPSDT benefit) allows enrolled members (under age 21) to receive any medically necessary treatment or procedure, regardless of whether or not …

EPSDT - Medi-Cal

https://files.medi-cal.ca.gov/pubsdoco/publications/masters-mtp/part2/epsdt.pdf

EPSDT services are a benefit of the Medi-Cal program as specified in Title XIX of the Social Security Act (SSA), Section 1905(r)(5), Title 42 of the United States Code, Section …

Medicaid EPSDT | Autism Speaks

https://www.autismspeaks.org/medicaid-epsdt

Under the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit of Medicaid, beneficiaries under the age of 21 are entitled to all health care services that …

Early and Periodic Screening, Diagnostic and …

https://hcpf.colorado.gov/sites/hcpf/files/EPSDT%20Fact%20Sheet.pdf

Necessary health care services must be made available for treatment of all physical and mental illnesses or conditions discovered by any screening and diagnostic procedures. …

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) …

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