A A Well Child Check-Up (EPSDT) The purpose of EPSDT services is: - medicaid alabama 2025

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The document outlines the EPSDT (Early and Periodic Screening, Diagnostic, and Treatment) program aimed at providing preventive health care services to Medicaid-eligible children under 21. It details the purpose of EPSDT, which includes educating families about preventive care, conducting comprehensive medical screenings to detect health issues early, and ensuring timely treatment for identified conditions. The document also describes the various types of screenings, referral processes, administrative requirements, and billing procedures associated with the program. Additionally, it emphasizes the importance of outreach activities to engage eligible families and ensure access to necessary health services.

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What is the meaning of EPSDT exam?

Early and Periodic Screening, Diagnostic, and Treatment. 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.

What is the age limit for Medicaid EPSDT in Alabama?

The program also offers preventive health services to Medicaid-eligible children under 21 years of age, except those who receive pregnancy-related or family planning services only.

What is the EPSDT benefit for Medicaid?

The Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit provides comprehensive and preventive health care services for children under age 21 who are enrolled in Medicaid.

Does EPSDT cover items that are not available under the Medicaid state plan?

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.

Does Medicaid cover adults in Alabama?

Medicaid payments support doctors offices, hospitals, clinics and nursing homes that serve all Alabamians. Children make up more than half of Alabama Medicaid beneficiaries. Medicaid also provides essential coverage for seniors, pregnant women, and people with disabilities.

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EPSDT Screening Form EPSDT Alabama EPSDT forms PDF Medicaid well-child visit schedule Alabama Medicaid Provider Manual Alabama Medicaid Fee Schedule Alabama Medicaid Appendix A Alabama Medicaid school based Services

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What services are covered by Medicaid in Alabama?

Medicaid patients get medical care from a variety of sources. Covered medical services include dental, eye and hearing care, lab and x-ray services as well as renal dialysis and transplant coverage.

What is the age limit on Medicaid?

Apply if you have very high medical bills, which you cannot pay (and you are pregnant, under age 18 or over age 65, blind, or disabled). Medicaid is a state administered program and each state sets its own guidelines regarding eligibility and services.

Is the Medicaid 14 visit limit in Alabama?

(1) Within each calendar year each recipient is limited to no more than a total of 14 physician office visits in offices, hospital outpatient settings, nursing homes, or Federally Qualified Health Centers.

A A Well Child Check-Up (EPSDT) The purpose of EPSDT services is: - medicaid alabama 2025

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