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Manual Title Chapter Page Supplement B EPSDT Chapter Section Page Revision Date 12/5/2007 SUPPLEMENT B - EPSDT i TABLE OF CONTENTS COVERED SERVICES AND LIMITATIONS GENERAL INFORMATION ON EPSDT SERVICES Medicaid/FAMIS Plus FAMIS Care Organization MCO Programs EPSDT Goals Other Necessary Health Care Diagnostic Services and Treatment Services Outreach and Informing EPSDT SCREENING SERVICES Qualified EPSDT Screening Providers The Primary Care Physician s Role in Screening The EPSDT Screening...
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How to fill out supplement b epsdt
How to fill out Supplement B – EPSDT
01
Obtain a copy of Supplement B – EPSDT from the relevant authority or website.
02
Read the instructions carefully to understand the requirements for filling out the form.
03
Fill in your personal information in the designated sections including name, address, and contact information.
04
Provide details of the child for whom EPSDT services are being requested, including date of birth and Medicaid number.
05
List the services the child is being referred for in the appropriate section.
06
Complete any required assessments or screenings as specified in the form.
07
Ensure all information is accurate and complete before submitting.
08
Submit the form to the appropriate agency as directed in the instructions.
Who needs Supplement B – EPSDT?
01
Children under the age of 21 who are enrolled in Medicaid and require early and periodic screenings, diagnostic services, and treatment.
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Which of the following are required components of EPSDT?
EPSDT is made up of the following screening, diagnostic, and treatment services: Screening Services. Vision & Hearing Services. Dental Services. Lead Screening. Immunizations/Vaccines for Children (VFC) Program. Other Necessary Health Care Services. Diagnostic Services. Treatment.
Which of the following are required components of EPSDT?
The standards to meet medical necessity differ between Medi-Cal and EPSDT. The EPSDT standard is as follows: EPSDT services are medically necessary or a medical necessity if they correct or ameliorate defects and physical and mental illnesses and conditions discovered through screening.
What is the medical necessity standard for Medi Cal EPSDT?
The standards to meet medical necessity differ between Medi-Cal and EPSDT. The EPSDT standard is as follows: EPSDT services are medically necessary or a medical necessity if they correct or ameliorate defects and physical and mental illnesses and conditions discovered through screening.
What modifier is used for EPSDT?
If the first 5 or more components of an HCY/EPSDT screen are completed, you may bill using the age appropriate CPT code, EP modifier (along with modifier 52 to identify a partial screen was performed), and appropriate ICD-10 code to count toward your Participation Rate.
What does EPSDT mean in medical terms?
All infants, children, and adolescents should receive regular well-child check-ups that include: Comprehensive health and developmental history, including both physical and mental health development assessments. Physical exam. Age-appropriate immunizations. Vision and hearing tests. Dental exam.
What are the EPSDT requirements?
The core of the EPSDT benefit is a comprehensive, well-child visit known as an EPSDT screen. It must include: a comprehensive health and developmental history, comprehensive physical exam, appropriate immunizations, laboratory tests, and health education.
What does EPSDT stand for in dental terms?
Early and Periodic Screening, Diagnostic, and Treatment Services.
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What is Supplement B – EPSDT?
Supplement B – EPSDT stands for Early and Periodic Screening, Diagnostic, and Treatment. It is a Medicaid requirement that ensures children receive necessary health screenings, diagnoses, and treatment services.
Who is required to file Supplement B – EPSDT?
Organizations and healthcare providers that participate in Medicaid and provide services to children enrolled in the EPSDT program are required to file Supplement B – EPSDT.
How to fill out Supplement B – EPSDT?
To fill out Supplement B – EPSDT, healthcare providers must complete the form by providing information on the child’s screenings, treatments provided, and follow-up services, along with any relevant documentation.
What is the purpose of Supplement B – EPSDT?
The purpose of Supplement B – EPSDT is to ensure that children enrolled in Medicaid receive comprehensive and preventive healthcare services, thereby promoting better health outcomes and addressing any identified health issues promptly.
What information must be reported on Supplement B – EPSDT?
Reported information on Supplement B – EPSDT must include details of health screenings conducted, results of any diagnostic tests, treatments provided, follow-up care, and the child's progress.
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