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Subsystem Source/Originator Frequency Estimated Volume Programs Proc/Screen ID EPSDT DMAS N/A One Form Per Enrollee MICC - MATERNITY RISK PROCESS MIT005VA MI-S-005 MICC Maternity Risk Screen MI-I-001 Field Definitions Field Name Data Element Name Element ID MICC Enrollee Name MICC Maternal Risk Expected Delivery Date Client Address Phone Maternity Risk Substance Abuse Weekly Frequency - Alcohol Frequency - Alcohol Frequency - Cocaine Frequency - Narcotics Frequency - Marijuana Frequency -...
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How to fill out epsdt inputs

01
Start by gathering all the necessary information such as medical records, previous screenings, and any relevant history.
02
Ensure you have the appropriate EPSDT forms provided by your healthcare provider.
03
Carefully read and understand the instructions on the EPSDT form before filling out the inputs.
04
Begin by entering the child's personal information accurately, including name, date of birth, and contact details.
05
Proceed to provide details regarding the child's medical history, including any existing conditions, medications, or allergies.
06
Fill out the measurement inputs, such as height, weight, and head circumference, accurately using the appropriate units of measurements.
07
Include information about any developmental or cognitive assessments that have been conducted.
08
Document any necessary immunizations or screenings that have been completed, including hearing and vision tests.
09
Make sure to fill out every input accurately and legibly to avoid any errors or misunderstandings.
10
Double-check all the information provided before submitting the EPSDT inputs to ensure its completeness and accuracy.

Who needs epsdt inputs?

01
EPSDT inputs are needed for children eligible for Medicaid or the Children's Health Insurance Program (CHIP).
02
Any child under the age of 21 who is covered by Medicaid or CHIP is required to have EPSDT inputs.
03
EPSDT inputs are particularly important for children who may need early detection and intervention for potential health or developmental issues.
04
Healthcare providers, pediatricians, and specialists responsible for the care of children covered by Medicaid or CHIP would need EPSDT inputs.
05
Parents or legal guardians of children covered by Medicaid or CHIP also need to ensure EPSDT inputs are completed and submitted as required.
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EPSDT inputs stands for Early and Periodic Screening, Diagnosis, and Treatment inputs. It is a process used to assess the health and developmental needs of children.
Healthcare providers are required to file EPSDT inputs for children who are enrolled in Medicaid.
EPSDT inputs can be filled out by healthcare providers during a child's well-child visit. The inputs include screening, diagnosis, and treatment information.
The purpose of EPSDT inputs is to ensure that children receive preventive and comprehensive healthcare services to address any health and developmental needs.
EPSDT inputs must include information on screenings, diagnosis, treatment, and follow-up care provided to children.
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