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4WYORKTEOF FORTUITY.ANDREW M. CUOMOGovernorDepartment of Health HOWARD A. TUCKER, M.D., J.D. CommissionerSALLY DRESSING, M.S., R.N. Executive Deputy Commissioner December 27, 2019, Ms. Nicole McKnight
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01
To fill out the 20-01 EPSDT expansion form, follow these steps:
02
Obtain the 20-01 EPSDT expansion form from your local health department or healthcare provider.
03
Fill in your personal information, including your name, address, and contact details.
04
Provide information about the child for whom the expansion is being requested, including their name, age, and other relevant details.
05
Indicate the specific reason for seeking the EPSDT expansion and provide any necessary supporting documentation or medical records.
06
Clearly explain why the EPSDT expansion is necessary for the child's health and well-being.
07
Include any additional information or supporting documents that may be relevant to the application.
08
Double-check all the information provided to ensure accuracy and completeness.
09
Submit the completed form to the appropriate authority or healthcare provider.
10
Keep a copy of the completed form for your records.
11
Follow up with the authority or healthcare provider to track the progress of your application.

Who needs 20-01 epsdt expansion for?

01
The 20-01 EPSDT expansion is generally needed for children who require additional services and care beyond what is covered by the standard EPSDT program.
02
This expansion may be necessary for children with complex medical conditions, developmental disabilities, behavioral health needs, or other special healthcare requirements.
03
It is typically sought by parents or guardians who believe that their child would benefit from access to additional medical, dental, vision, or specialized services.
04
Each state may have specific eligibility criteria or guidelines for who qualifies for the 20-01 EPSDT expansion, so it is recommended to consult with the local health department or healthcare provider for specific details.
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The 20-01 EPSDT (Early and Periodic Screening, Diagnostic, and Treatment) expansion is designed to enhance access to preventive health services and screenings for children and adolescents under Medicaid.
States that participate in Medicaid programs are required to file the 20-01 EPSDT expansion to ensure compliance with federal regulations regarding children's health services.
To fill out the 20-01 EPSDT expansion, states must provide comprehensive data on services covered, eligible populations, and the implementation of EPSDT requirements according to CMS guidelines.
The purpose of the 20-01 EPSDT expansion is to improve health outcomes for children by ensuring they receive timely screenings, preventive services, and necessary treatment.
Reports must include information on the screening services provided, treatment outcomes, participation rates, and any barriers to accessing EPSDT services.
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