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This document reports Health Check eligible members in need of services and their compliance with the EPSDT periodicity schedule, based on claims data from WellCare.
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How to fill out epsdt health check 120
How to fill out EPSDT Health Check 120 Day Report
01
Gather necessary information: Patient's name, date of birth, and Medicaid ID.
02
Ensure all required screenings have been completed within the last 120 days.
03
Fill out the child's demographics and contact information in the provided sections.
04
Document the date of each health check appointment.
05
Record the findings from the physical examinations and any referrals made.
06
Include information on immunizations and any additional preventive services provided.
07
Review the filled form for accuracy and completeness.
08
Submit the report to the appropriate Medicaid office.
Who needs EPSDT Health Check 120 Day Report?
01
Children enrolled in Medicaid who are required to undergo regular health assessments.
02
Healthcare providers involved in the care of children under the EPSDT program.
03
Parents or guardians seeking to ensure that their child receives the needed health checkups.
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People Also Ask about
What are the EPSDT requirements?
All infants, children, and adolescents should receive regular well-child check-ups that include: Comprehensive health and developmental history, including both physical and mental health development assessments. Physical exam. Age-appropriate immunizations. Vision and hearing tests. Dental exam.
How to bill for EPSDT?
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.
What is the medical necessity standard for Medi Cal EPSDT?
Medical Necessity The EPSDT standard is as follows: EPSDT services are medically necessary or a medical necessity if they correct or ameliorate defects and physical and mental illnesses and conditions discovered through screening.
What are three EPSDT requirements?
State Requirements under EPSDT. States are responsible for ensuring that families are informed about the EPSDT benefit, that children are screened at appropriate intervals, and that they receive medically necessary treatment services.
What is an EPSDT test?
Early and Periodic Screening, Diagnostic, and Treatment. Early and Periodic Screening, Diagnostic, & Treatment (EPSDT) is a Medi-Cal benefit for individuals under the age of 21 who have full-scope Medi-Cal eligibility. This benefit allows for periodic screenings to determine health care needs.
What is the medical necessity standard for Medi Cal EPSDT?
Medical Necessity The EPSDT standard is as follows: EPSDT services are medically necessary or a medical necessity if they correct or ameliorate defects and physical and mental illnesses and conditions discovered through screening.
Which of the following are required components of EPSDT?
EPSDT is made up of the following screening, diagnostic, and treatment services: Screening Services. Vision & Hearing Services. Dental Services. Lead Screening. Immunizations/Vaccines for Children (VFC) Program. Other Necessary Health Care Services. Diagnostic Services. Treatment.
Which of the following are required examinations for EPSDT?
EPSDT is made up of the following screening, diagnostic, and treatment services: Screening Services. Vision & Hearing Services. Dental Services. Lead Screening. Immunizations/Vaccines for Children (VFC) Program. Other Necessary Health Care Services. Diagnostic Services. Treatment.
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What is EPSDT Health Check 120 Day Report?
The EPSDT Health Check 120 Day Report is a document required by the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program to ensure that children receive necessary health screenings and follow-up services within 120 days of specific eligibility criteria.
Who is required to file EPSDT Health Check 120 Day Report?
Healthcare providers and professionals who perform EPSDT screenings on children covered under Medicaid are required to file the EPSDT Health Check 120 Day Report.
How to fill out EPSDT Health Check 120 Day Report?
To fill out the EPSDT Health Check 120 Day Report, providers must gather relevant patient information, including demographics, screening results, and any referrals or follow-up actions taken. This information should be documented accurately on the form provided by the state Medicaid agency.
What is the purpose of EPSDT Health Check 120 Day Report?
The purpose of the EPSDT Health Check 120 Day Report is to monitor compliance with EPSDT services, ensure that children receive timely health assessments and necessary preventative care, and improve health outcomes for children enrolled in Medicaid.
What information must be reported on EPSDT Health Check 120 Day Report?
The EPSDT Health Check 120 Day Report must include information such as the child's name, Medicaid ID, date of birth, date of the health checkup, findings from the screening, follow-up recommendations, and any referral details for additional services.
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