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CSC plan Addendum FT 12×13Date Received:Children's Service Coordination Plan Addendum Child's Name:Date of Birth:MID#:Child's Mailing Address:Telephone #:Child's Physical Address: Region:Agency:Date
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How to fill out epsdt service coordination plan

01
To fill out the EPSDT service coordination plan, follow these steps:
02
Begin by gathering all relevant information about the child, including their medical history, current health status, and any developmental or behavioral concerns.
03
Identify the child's primary care physician, as they will play a crucial role in coordinating the child's healthcare services.
04
Assess the child's needs and determine the specific services required to address those needs. This may include medical, dental, vision, hearing, and behavioral health services.
05
Consult with the child's family or caregiver to understand their preferences and concerns regarding the child's healthcare.
06
Develop a comprehensive plan that outlines the specific services to be provided, the timeline for their delivery, and the responsible parties.
07
Share the plan with all relevant healthcare providers and agencies involved in the child's care.
08
Implement the plan by scheduling and coordinating appointments, referrals, screenings, and any necessary follow-up care.
09
Continuously monitor and evaluate the effectiveness of the plan, making adjustments as needed to ensure the child receives appropriate care and achieves optimal health outcomes.
10
Maintain clear and accurate documentation of all activities related to the EPSDT service coordination plan.
11
Regularly communicate with the child's family or caregiver to provide updates, address concerns, and facilitate their active involvement in the process.

Who needs epsdt service coordination plan?

01
The EPSDT service coordination plan is designed for children and youth under the age of 21 who are enrolled in Medicaid.
02
This includes children with physical, developmental, behavioral, or emotional conditions that require coordinated healthcare services.
03
It is particularly beneficial for children with complex or chronic conditions who need ongoing support and coordination across multiple healthcare providers and agencies.
04
The plan ensures that these children receive all the necessary medical, dental, vision, hearing, and behavioral health services they need to stay healthy and thrive.
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EPSDT service coordination plan is a plan designed to coordinate and ensure the provision of all needed services for children under Medicaid.
Healthcare providers and managed care organizations are required to file EPSDT service coordination plans.
EPSDT service coordination plan can be filled out by including all necessary information related to the child's medical and developmental needs, as well as the services needed to address those needs.
The purpose of EPSDT service coordination plan is to ensure that all children under Medicaid receive all necessary services to address their physical, mental, and developmental needs.
Information such as the child's medical history, current health status, developmental milestones, and any specialized services needed must be reported on the EPSDT service coordination plan.
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