Instructions dhs 8015-2025

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14 defines medical necessity for EPSDT services as follows: The state requires that Medicaid covers medically necessary services identified in a childs EPSDT screening whether or not such services are covered in the State Plan.
Medical Necessity The EPSDT standard is as follows: EPSDT services are medically necessary or a medical necessity if they correct or ameliorate defects and physical and mental illnesses and conditions discovered through screening.
To access the GPS datasets published by The DHS Program, you will need to create an account as described on the Access Instructions page. Once you log into your account and create a new project and you choose a region, click on the option to Show GPS Data (which is identified in the screenshot below).
EPSDT is made up of the following screening, diagnostic, and treatment services: Screening Services. Vision Hearing Services. Dental Services. Lead Screening. Immunizations/Vaccines for Children (VFC) Program. Other Necessary Health Care Services. Diagnostic Services. Treatment.
What You Need to Know Comprehensive health and developmental history, including both physical and mental health development assessments. Physical exam. Age-appropriate immunizations. Vision and hearing tests. Dental exam. Laboratory tests, including blood lead level assessments at certain ages.
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Consequences: States that do not provide Medicaid recipients with EPSDT services run the risk of facing federal penalties, including losing access to federal Medicaid funding. This implementation guarantees that states consent to the norms to give extensive medical care to qualified youngsters and teenagers.

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