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EPSDT has a reasonable, common sense medical necessity standard for getting services authorized. This means you can get more testing and services than you would if you were 21 or older if your doctor or treating professional recommends it. The State must agree that the services are medically necessary.
What is the EPSDT correct standard?
EPSDT has a reasonable, common sense medical necessity standard for getting services authorized. This means you can get more testing and services than you would if you were 21 or older if your doctor or treating professional recommends it. The State must agree that the services are medically necessary.
Which of the following are required components of Epsdt?
EPSDT Services Comprehensive health and developmental history. Comprehensive unclothed physical exam. Appropriate immunizations (ing to the Advisory Committee on Immunization Practices) Laboratory tests (including lead toxicity screening.
What is the early and periodic screening diagnostic and treatment Epsdt program designed to do?
EPSDT finances health care for children and ensures that children receive appropriate, quality services to improve their health.
What is the EPSDT program in California?
Early and Periodic Screening, Diagnostic, Treatment (EPSDT) is a Medi-Cal benefit for individuals under the age of 21 who have full-scope Medi-Cal eligibility. This benefit allows for periodic screenings to determine health care needs.
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A. EPSDT stands for Early and Periodic Screening, Diagnostic and Treatment. The EPSDT benefit provides comprehensive and preventive health services for children under age 21 who are enrolled in Medicaid.
What modifier is used for EPSDT?
If the first 5 or more components of an HCY/EPSDT screen are completed, you may bill using the age appropriate CPT code, EP modifier (along with modifier 52 to identify a partial screen was performed), and appropriate ICD-10 code to count toward your Participation Rate.
Which of the following are required components of EPSDT?
Known as EPSDT screening visits, the program defines and finances preventive well-child visits that include a comprehensive health and developmental history, an unclothed physical exam, immunizations, laboratory tests, and health education and guidance for parents and children.
Related links
EPSDT - Hawaii Medicaid
The Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit is a federally mandated benefit under Title XIX of the Social Security Act. This
EPSDT provides free Early and Periodic Screening, Diagnosis, and Treatment health services for individuals under 21 years old receiving medical assistance
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