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A health screening document for children to assess their health status and developmental milestones as part of the EPSDT program offered by the West Virginia Department of Health and Human Resources.
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How to fill out early and periodic screening
How to fill out Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) HealthCheck Program Preventive Health Screen
01
Obtain the EPSDT HealthCheck Program application form.
02
Ensure you have the child's personal information ready (name, date of birth, address).
03
Fill in the child's demographic details accurately.
04
Include information regarding the child's medical history and any previous screenings.
05
Indicate on the form if there are specific health concerns or areas needing attention.
06
Review the form for completeness and accuracy.
07
Submit the completed form to the designated authority or health provider.
Who needs Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) HealthCheck Program Preventive Health Screen?
01
Children under the age of 21 who are enrolled in Medicaid.
02
Individuals with developmental delays or disabilities.
03
Children who have not received age-appropriate screenings.
04
Families interested in preventive health services for their children.
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People Also Ask about
What does EPSDT mean in Medi-Cal terms?
EPSDT Requirements: A Summary Comprehensive health and developmental history -- includes assessment of physical and mental health development. Comprehensive unclothed physical exam. Appropriate immunizations -- ing to the Advisory Committee on Immunization Practices (ACIP) schedule for pediatric vaccines.
What are three EPSDT requirements?
The screening services must include five components: a comprehensive health and developmental history (assessing physical and mental health, as well as substance use disorders), an unclothed physical examination, appropriate immunizations, laboratory tests, and health education (§1905(r) of the Social Security Act (the
Which of the following are required examinations for EPSDT?
CPT Code 96127 OR 96127 x 2 96127-59 When reporting the health risk assessment codes, 96160 and 96161, with developmental screening and/or emotional/behavioral screening, Modifier 59 should be append- ed to the health risk assessment code.
What is EPSDT Medi-Cal?
EPSDT benefit provides comprehensive screening, diagnostic, treatment and preventive health care services for individuals under the age of 21 who are enrolled in Medi-Cal. EPSDT services are intended to prevent or minimize developmental conditions and promoten — to the maximum extent practicable — healthy development.
What does EPSDT mean in Medi-Cal terms?
The billing options include: An evaluation and management (E&M) preventive medicine CPT code (99381 through 99385 or 99391 through 99395) with or without modifer EP. An E& M ofce visit CPT code (99202 through 99205 or 99213 through 99215) with or without modifer EP and an appropriate wellness diagnosis code.
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What is Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) HealthCheck Program Preventive Health Screen?
The EPSDT HealthCheck Program is a Medicaid program that provides a comprehensive and preventive health care solution for children and adolescents under the age of 21. It includes regular screenings, diagnostic services, and treatment for any identified health issues.
Who is required to file Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) HealthCheck Program Preventive Health Screen?
Health care providers who administer EPSDT services are required to file the Preventive Health Screen. This typically includes physicians, nurse practitioners, and other qualified health professionals.
How to fill out Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) HealthCheck Program Preventive Health Screen?
To fill out the EPSDT HealthCheck Program Preventive Health Screen, providers should gather the child's health history, perform a physical examination, and document any findings or recommendations. The form should then be submitted to the appropriate Medicaid authority for processing.
What is the purpose of Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) HealthCheck Program Preventive Health Screen?
The purpose of the EPSDT HealthCheck Program is to ensure that children receive regular preventive health care services that promote healthy development and timely diagnosis and treatment of health issues.
What information must be reported on Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) HealthCheck Program Preventive Health Screen?
The information that must be reported includes the child's demographics, health history, results of the physical examination, any screenings performed (such as vision and hearing tests), and any referrals made for additional services.
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