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Get the free EPSDT Personal Care Services - La Dept. of Health

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Service Request Application (SRA) for: EPS DT RESIDENTIAL 1:1 CARE INITIAL REQUEST ALL ITEMS ARE REQUIRED After response is entered, use the Tab key to advance to next item. MEMBER INFORMATIONPROVIDER
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How to fill out epsdt personal care services

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How to fill out epsdt personal care services

01
First, contact your healthcare provider to determine if you qualify for EPSDT personal care services.
02
Once approved, schedule an assessment with a qualified provider to determine the specific services needed.
03
Work with the provider to create a care plan that outlines the services to be provided and the frequency of care.
04
Keep track of all appointments and services received to ensure proper documentation for reimbursement.
05
Regularly review and update the care plan as needed to ensure the best possible care.

Who needs epsdt personal care services?

01
Children and adolescents under the age of 21 who are enrolled in Medicaid.
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EPSDT personal care services are a Medicaid benefit that provides personal care and support services to help individuals with disabilities or chronic illnesses live independently in their homes or communities.
Individuals who are eligible for Medicaid and in need of personal care services are required to file for EPSDT personal care services.
To fill out EPSDT personal care services, individuals must contact their Medicaid provider or managed care organization to determine eligibility and complete the necessary paperwork.
The purpose of EPSDT personal care services is to ensure that individuals with disabilities or chronic illnesses have access to the necessary support services to help them live independently and improve their quality of life.
Information such as the individual's medical history, current health needs, and required level of personal care must be reported on EPSDT personal care services.
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