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Exhibit 5: Provider Reimbursement Rates (extract from SR contract) Provider Name: Provider Operational Hours: ___ PROVIDER must mark the appropriate box below indicating the appropriate PROVIDER type.
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How to fill out epsdt health services
How to fill out epsdt health services
01
Schedule an EPSDT health screening for your child.
02
Complete any necessary paperwork or forms provided by the healthcare provider.
03
Bring your child to the appointment and be prepared to discuss their medical history and any concerns.
04
Follow any recommendations or referrals provided by the healthcare provider for additional services or follow-up care.
Who needs epsdt health services?
01
Children and adolescents under the age of 21 who are enrolled in Medicaid or CHIP are eligible for EPSDT health services.
02
EPSDT services are especially important for children with special healthcare needs, developmental delays, or chronic conditions.
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What is epsdt health services?
EPSDT (Early and Periodic Screening, Diagnosis, and Treatment) is a comprehensive and preventive child health program under Medicaid.
Who is required to file epsdt health services?
Healthcare providers who participate in Medicaid and provide services to children under the age of 21 are required to file EPSDT health services.
How to fill out epsdt health services?
EPSDT health services can be filled out by healthcare providers using the appropriate forms provided by Medicaid.
What is the purpose of epsdt health services?
The purpose of EPSDT health services is to ensure that children receive early and comprehensive preventive healthcare services to detect and treat potential health issues.
What information must be reported on epsdt health services?
Information reported on EPSDT health services includes screening results, diagnosis, and treatment provided to children under Medicaid.
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