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EARLY AND PERIODIC SCREENING, DIAGNOSTIC, AND TREATMENT (EPS DT) MEDICAID FOR CHILDREN Contacts: Angela Tyson, RN, BHS Email: Angela. Tyson email.net EPS DT Nurse Consultant Division of Medical Assistance
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a. A valid North Carolina drivers' license or other identification card issued by the North Carolina Division of Motor Vehicles. b. A current North Carolina rent, lease, or mortgage payment receipt, or current utility bill in the name of the applicant or the applicant's legal spouse, showing a North Carolina address.
Medicaid's Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit covers a program of regular wellness visits called Health Check. Wellness visits allow health care providers to carefully monitor a child's overall health and development, so that health concerns are identified and addressed early.
A North Carolina Medicaid prior authorization form is a document used by North Carolina-based medical professionals to request Medicaid coverage for a non-preferred drug. On the form, the person making the request must provide the medical justification for not prescribing a drug from the Preferred Drug List.
EPSDT is made up of the following screening, diagnostic, and treatment services: Screening Services. Vision Services. At a minimum, diagnosis and treatment for defects in vision, including eyeglasses. Dental Services. Hearing Services. Other Necessary Health Care Services. Diagnostic Services. Treatment.
Prior authorization (PA) is required for certain drugs prescribed to NC Medicaid recipients. Refer to the links below for specific criteria. Providers may submit requests for approval via fax, phone or via the NCTracks secure portal.
The Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) service is Medicaid's comprehensive and preventive child health program for individuals under the age of 21. EPSDT guarantees health care resources are available and accessible, and helps Medicaid recipients and their caregivers use them.

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