What is included in EPSDT?

Well-child preventive screening visits 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.

How many components make up the Epsdt screening?

The screening services must include five components: a comprehensive health and developmental history (assessing physical and mental health, as well as substance use disorders), an unclothed physical examination, appropriate immunizations, laboratory tests, and health education (§1905(r) of the Social Security Act (the …

What is an Epsdt code?

*Report ICD-10 Code Z00.110. Early Periodic Screening, Diagnosis and Treatment (EPSDT) is a program of check-ups and treatment and/or referrals for needed services for all TennCare eligible children birth through age 20.

What is Epsdt dental program?

What is EPSDT? The EPSDT benefit allows Medi-Cal enrolled children and youth under age 21 to get preventive (screening) dental services and to get diagnostic and treatment services that are medically necessary to correct or ameliorate health conditions found during screening.

How old do you have to be to get an EPSDT screening?

That’s why the liaisons in our EPSDT department assist the parents or guardians of all members younger than 21 years of age in receiving EPSDT screenings, treatment, follow-up, and referrals to the Early Intervention Program when appropriate.

What do you need to know about Medicaid EPSDT?

States are required to provide comprehensive services and furnish all Medicaid coverable, appropriate, and medically necessary services needed to correct and ameliorate health conditions, based on certain federal guidelines. EPSDT is made up of the following screening, diagnostic, and treatment services:

How often do I need to report my EPSDT?

Report EPSDT performance information annually via Form CMS-416 (ZIP, 27.03 KB). Periodicity schedules for periodic screening, vision, and hearing services must be provided at intervals that meet reasonable standards of medical practice.

What does Early Periodic Screening, Diagnosis and Treatment ( EPSDT ) mean?

EPSDT is a federally mandated program for QUEST children emphasizing prevention, early detection of medical, dental and behavioral health conditions and timely treatment of conditions detected as a result of screening. Children include any member up to 21 years of age.