
Get the free EARLY AND PERIODIC SCREENING, DIAGNOSTIC AND TREATMENT (EPSDT) PROGRAM
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16Women and Children's
ServicesReviewed/Revised: 10/10/2017, 02/01/2017, 02/15/2016, 09/16/2015, 10/03/2014EARLY AND PERIODIC SCREENING, DIAGNOSTIC AND TREATMENT (EPS DT) PROGRAM Description
EPS DT
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How to fill out early and periodic screening
01
To fill out the early and periodic screening, follow these steps:
02
Gather all necessary information and forms.
03
Start by filling out the child's personal information, including name, date of birth, and address.
04
Provide information about the child's medical history, including any previous illnesses, surgeries, or hospitalizations.
05
Answer the screening questions pertaining to the child's development, behavior, and overall well-being.
06
Complete any additional sections or forms required by your healthcare provider or organization.
07
Review the completed screening for accuracy and completeness.
08
Sign and date the form as the parent or guardian.
09
Submit the filled-out early and periodic screening to the appropriate healthcare provider or organization for further processing and evaluation.
10
Keep a copy of the completed screening for your records.
Who needs early and periodic screening?
01
Early and periodic screening is typically recommended for children and adolescents under the age of 21.
02
It is especially important for children who receive Medicaid or other public health insurance.
03
However, early and periodic screening can be beneficial for any child as it helps identify any potential health or developmental issues early on.
04
Parents or guardians can consult with their child's healthcare provider to determine if their child needs early and periodic screening.
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What is early and periodic screening?
Early and periodic screening refers to a preventive health care program that provides comprehensive health assessments, vision and hearing tests, and other services to eligible individuals, particularly children.
Who is required to file early and periodic screening?
Health care providers, clinics, hospitals, and other entities that participate in Medicaid are required to file early and periodic screening for eligible individuals.
How to fill out early and periodic screening?
Early and periodic screening can be filled out by following the guidelines provided by the Medicaid program and using the appropriate forms and documentation.
What is the purpose of early and periodic screening?
The purpose of early and periodic screening is to ensure that eligible individuals receive preventive health care services to promote early detection and treatment of health issues.
What information must be reported on early and periodic screening?
Information such as health assessments, vision and hearing tests, immunizations, and other relevant health history must be reported on early and periodic screening.
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