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This document outlines the EPSDT (Early and Periodic Screening, Diagnosis and Treatment) Health Services in conjunction with IDEA (Individuals with Disabilities Education Act) related services available
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How to fill out EPSDT HEALTH AND IDEA – RELATED SERVICES

01
Obtain the EPSDT HEALTH AND IDEA – RELATED SERVICES form from your local health department or school.
02
Read the instructions carefully to understand the requirements for filling out the form.
03
Fill in your personal information at the top of the form, including your name, date of birth, and contact information.
04
Specify the health issues or developmental delays that require services under EPSDT and IDEA.
05
Provide any necessary supporting documentation or referrals from healthcare providers.
06
Indicate the types of services you are requesting, such as physical therapy, behavioral therapy, or counseling.
07
Review the completed form for accuracy and completeness before submission.
08
Submit the form to the appropriate agency or school district as instructed.

Who needs EPSDT HEALTH AND IDEA – RELATED SERVICES?

01
Children under the age of 21 who are eligible for Medicaid benefits.
02
Children with special needs requiring additional health care services.
03
Families seeking assistance for their child's developmental disabilities.
04
Children who have significant physical or mental health needs that require specialized services.
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People Also Ask about

The Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit is geared to the early assessment of children's health care needs through periodic screenings. The goal of EPSDT is to assure that health problems are diagnosed and treated as early as possible. How EPSDT is Operationalized in Virginia Medicaid.
Do You Need to Apply for the EPSDT? Because the EPSDT is a benefit, families do not need to apply to have their children covered. Instead, it's an automatic part of Medicaid coverage, kicking in when waivers run out (or if waivers don't apply).
The EPSDT Program is a Medicaid benefit automatically available to anyone in Virginia under the age of 21 who has Medicaid. There is no separate application or enrollment process. The idea behind EPSDT is similar to the idea of early intervention.

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EPSDT (Early and Periodic Screening, Diagnostic, and Treatment) is a Medicaid program aimed at ensuring children receive appropriate preventive and developmental services. IDEA (Individuals with Disabilities Education Act) related services refer to the support required to assist children with disabilities in accessing free appropriate public education.
Health care providers, particularly those involved in serving children eligible for Medicaid, and education professionals including special education teachers are typically required to file EPSDT HEALTH AND IDEA-related services documentation.
To fill out EPSDT HEALTH AND IDEA-related services forms, providers should ensure that they accurately record the child's information, the services provided, dates of service, and any referrals or follow-up requirements. It's essential to follow the specific guidelines set by Medicaid and IDEA.
The purpose of EPSDT HEALTH AND IDEA-related services is to ensure that children have access to comprehensive health care and educational supports that aid in early detection and treatment of health issues and provide necessary services to support educational success for children with disabilities.
Required information typically includes details of the child (name, age, Medicaid number), type of services provided, dates of service, outcomes or results of screenings, and any recommendations or referrals if additional services are needed.
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