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HEALTH FIRST COLORADO (COLORADO MEDICAID PROGRAM) MEMBERS Information about Your Rights, Responsibilities, EPS DT, and Advance Directives As a Health First Colorado Member, you the right to:1. Receive
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How to fill out early and periodic screening

01
Obtain the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) form from your healthcare provider.
02
Fill out the necessary personal information including name, date of birth, and contact information.
03
Provide information about the child's medical history, including any existing conditions or concerns.
04
Answer questions about the child's developmental milestones and any behavioral or emotional issues.
05
Make sure to sign and date the form before submitting it to your healthcare provider.

Who needs early and periodic screening?

01
Children and adolescents under the age of 21 who are enrolled in Medicaid are eligible for Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) services.
02
This program is specifically designed to provide preventative and comprehensive healthcare services to children and youth to ensure optimal health and development.
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Early and periodic screening involves regular check-ups and preventive care for individuals to detect and treat health issues early.
Healthcare providers or organizations responsible for conducting the screenings are required to file early and periodic screening reports.
Early and periodic screening reports can be filled out by healthcare providers or organizations using the required forms provided by the relevant authorities.
The purpose of early and periodic screening is to ensure early detection and treatment of health issues in individuals, especially children and adolescents, to promote better health outcomes.
Information such as the results of the screenings, any identified health issues, recommended treatments, and follow-up care must be reported on early and periodic screening reports.
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