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THE MARYLAND HEALTHY KIDS PROGRAMMABLE AND PERIODIC SCREENING, DIAGNOSIS AND TREATMENT (EPS DT)A MEDICAL ASSISTANCE PROGRAM January 2000 / 9th EditionMARYLAND DEPARTMENT OF HEALTH & MENTAL HYGIENE
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How to fill out early and periodic screening

01
Gather all relevant medical records and information about the individual.
02
Determine the appropriate early and periodic screening form to use.
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Start by filling out the personal information section of the form, including the individual's name, date of birth, and contact information.
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Provide detailed medical history information, including any known allergies, chronic conditions, or previous surgeries.
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Answer all screening questions accurately and thoroughly, providing additional explanations or details if necessary.
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If applicable, provide information about the individual's developmental milestones, growth measurements, and immunization records.
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Review the completed form for any errors or missing information.
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Submit the form as required by the relevant healthcare provider or agency.

Who needs early and periodic screening?

01
Early and periodic screening is typically recommended for children and adolescents under the age of 21 who are enrolled in Medicaid or the Children's Health Insurance Program (CHIP).
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It is also beneficial for individuals with special healthcare needs, as it helps identify any potential physical, developmental, or behavioral issues at an early stage.
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Healthcare providers may also recommend early and periodic screening for individuals who have experienced significant health changes or require ongoing medical monitoring.

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Early and periodic screening refers to a preventive health program for children that includes regular check-ups and screenings to identify and address health issues early.
Healthcare providers, such as pediatricians and primary care physicians, are required to file early and periodic screening for their patients.
Healthcare providers must complete the necessary forms and document the results of the screenings and check-ups for each child.
The purpose of early and periodic screening is to ensure that children receive regular preventive care and screenings to detect and address any health issues early.
Information such as the child's medical history, growth measurements, developmental milestones, and any screening results must be reported on early and periodic screening forms.
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