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Care Care Care C EPS DT Services Early and Periodic Screening, Diagnosis and Treatment (EPS DT) is a Medical benefit for individuals under the age of 21 who have full scope Medical eligibility. This
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How to fill out EPSDT services - DHCS:

01
Gather all necessary documents and information such as the child's medical history, immunization records, and any previous treatment or interventions.
02
Contact your local DHCS office or visit their website to obtain the necessary forms and applications for EPSDT services.
03
Carefully read through the instructions provided with the forms to ensure you understand the requirements and steps involved in filling out the application.
04
Begin by entering the child's personal information, including their name, date of birth, address, and contact details.
05
Provide the child's Medi-Cal identification number or any other relevant insurance information.
06
Next, fill out the section that asks for the child's primary care physician or healthcare provider. Include their name, contact information, and any additional details required.
07
If applicable, provide information about any other specialists or healthcare professionals involved in the child's care, including their names, specialties, and contact information.
08
Answer the questions related to the child's medical history, including any chronic conditions, allergies, or previous surgeries that they have had.
09
Additionally, provide information about the child's current health status, including details on any medications they are taking or ongoing treatments they are receiving.
10
Make sure to review the completed application form for accuracy and completeness before submitting it to the DHCS office.

Who needs EPSDT services - DHCS?

01
Children and youth under the age of 21 who are enrolled in Medi-Cal or other eligible insurance programs may qualify for EPSDT services.
02
The Individuals with Disabilities Education Act (IDEA) mandates that all children receiving special education services through an Individualized Education Program (IEP) are entitled to EPSDT services.
03
Children who have been identified as having special healthcare needs or chronic conditions may also benefit from EPSDT services.
04
Families or caregivers who are concerned about a child's development, health, or overall well-being can seek EPSDT services to ensure proper screenings, assessments, and interventions are provided.
05
EPSDT services are particularly essential for children from low-income families who may face barriers in accessing preventive and specialized healthcare services.
06
Children and youth who require comprehensive health and developmental assessments, immunizations, dental services, vision and hearing screenings, and other medically necessary treatments are eligible for EPSDT services.
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EPSDT (Early and Periodic Screening, Diagnostic, and Treatment) services provided by DHCS (Department of Health Care Services) is a program that ensures children and youth receive appropriate preventative and treatment services.
Health care providers who serve Medicaid-eligible children and youth are required to file EPSDT services with DHCS.
To fill out EPSDT services with DHCS, providers must submit claims for covered services delivered to Medicaid-eligible children and youth, following DHCS guidelines and requirements.
The purpose of EPSDT services provided by DHCS is to ensure that children and youth receive early and comprehensive health care services to prevent and treat health problems.
Provider information, patient demographic data, services rendered, diagnosis codes, and other relevant information must be reported on EPSDT services filed with DHCS.
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