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NEVADA HEALTHY KIDS (EPS DT) Initial New Patient Screening Form (CPT 9938199385)Name Date DOB Age Sex Medicaid×Parent/Guardian Name Provider NPI Patients Medical History Birth Weight Birth Length
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Nevada Healthy Kids EPSDT (Early and Periodic Screening, Diagnostic and Treatment) is a program that provides preventive health care services to Medicaid-eligible children.
Healthcare providers who participate in the Nevada Medicaid program are required to file Nevada Healthy Kids EPSDT for eligible children.
To fill out Nevada Healthy Kids EPSDT, healthcare providers must complete the screening, diagnostic, and treatment services for eligible children and submit the necessary documentation to the Nevada Medicaid program.
The purpose of Nevada Healthy Kids EPSDT is to ensure that Medicaid-eligible children receive necessary preventive health care services to promote their overall health and well-being.
Information reported on Nevada Healthy Kids EPSDT includes screening results, diagnostic findings, treatment services provided, and follow-up care recommendations.
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