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Orthodontic Services for EPS DT Eligible Beneficiaries Recertification Request Form460 Braidwood, Suite 300 Jackson, MS 39206 Fax: 888.204.0377 Beneficiary InformationBeneficiary InformationGuardian
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How to fill out orthodontic services for epsdt
How to fill out orthodontic services for epsdt
01
To fill out orthodontic services for EPSDT, follow these steps:
02
Obtain and review the patient's dental records and medical history.
03
Consult with the orthodontist to determine the necessary treatment plan.
04
Verify the patient's eligibility for EPSDT orthodontic services.
05
Complete the necessary documentation, including the EPSDT orthodontic referral form.
06
Submit the completed referral form and any supporting documentation to the appropriate agency or insurance provider.
07
Follow up with the agency or insurance provider to ensure the referral is processed and approved.
08
Coordinate with the orthodontist to schedule the treatment sessions.
09
Monitor the progress of the orthodontic treatment and provide necessary support and documentation as required.
10
Bill the services provided according to the guidelines and regulations set by the agency or insurance provider.
11
Maintain accurate records of the orthodontic services provided and any related communication or documentation.
Who needs orthodontic services for epsdt?
01
Orthodontic services for EPSDT are typically needed by children and adolescents who have certain dental conditions that require orthodontic treatment.
02
Specific eligibility criteria may vary depending on the state or insurance provider, but generally, individuals who meet the following requirements may qualify:
03
- Being under the age limit specified by the state or insurance provider.
04
- Having a qualifying dental condition, such as malocclusion, overcrowding, or orthodontic deformity.
05
- Meeting the necessary diagnostic criteria as determined by the orthodontist.
06
It is important to consult with the state's EPSDT program or the insurance provider to confirm the specific eligibility criteria and coverage guidelines for orthodontic services.
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What is orthodontic services for epsdt?
Orthodontic services for EPSDT (Early and Periodic Screening, Diagnostic, and Treatment) are dental services that include the diagnosis, prevention, and treatment of dental conditions for children enrolled in Medicaid.
Who is required to file orthodontic services for epsdt?
Dentists and orthodontists who provide orthodontic services to children enrolled in EPSDT are required to file for reimbursement.
How to fill out orthodontic services for epsdt?
Providers can fill out orthodontic services for EPSDT by submitting the necessary documentation, including the diagnosis, treatment plan, and supporting documentation.
What is the purpose of orthodontic services for epsdt?
The purpose of orthodontic services for EPSDT is to ensure that children receive the necessary dental care to maintain their oral health and overall well-being.
What information must be reported on orthodontic services for epsdt?
Information that must be reported on orthodontic services for EPSDT includes the patient's diagnosis, treatment plan, and any supporting documentation.
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