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APPENDIX the BEST STANDARDS AND TRACKING FORMSAHCCCS EPS DT TRACKING Forsythe Arizona Health Care Cost Containment System (AHC CCS) EPS DT Tracking Forms must be used by all providers offering care
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The EPSDT tracking form is a document used to track the health screenings and services provided to children enrolled in the Early and Periodic Screening, Diagnostic, and Treatment program, which is a part of Medicaid.
Healthcare providers and organizations that offer EPSDT services to Medicaid recipients are required to file the EPSDT tracking form.
To fill out the EPSDT tracking form, providers need to enter patient information, services rendered, dates of services, and other relevant details as specified in the form instructions.
The purpose of the EPSDT tracking form is to ensure compliance with Medicaid requirements by documenting the provision of preventive health services to eligible children.
The form must report patient demographics, the scope of screenings and services, dates of assessments, follow-up actions, and outcomes of care.
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