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KS EPSDT medical necessity refers to the criteria used to determine whether a service or treatment is essential for the health and development of eligible children under the Kansas Medicaid Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program.
Healthcare providers and professionals providing services to eligible children must file KS EPSDT medical necessity documentation.
To fill out KS EPSDT medical necessity, complete the designated forms accurately, providing detailed information about the child's health needs and the services being requested, and ensure proper signatures are included.
The purpose of KS EPSDT medical necessity is to ensure that children receive appropriate medical services that are necessary for their health, including preventive, diagnostic, and treatment services.
Information that must be reported includes the child's demographic details, the specific medical services requested, justification for the necessity of these services, and supporting clinical information.
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