130 CMR, § 450.149 - EPSDT Services: Recordkeeping Requirements
(A)
Medical Records.
(1) A provider must create and maintain a
record for every member receiving EPSDT services, in accordance with MassHealth
regulations governing medical records at
130 CMR
450.205.
(2) In addition, the medical record for each
member receiving EPSDT services must contain documentation of the screening
procedures listed in Appendix W: EPSDT Services: Medical and Dental
Protocols and Periodicity Schedules as well as the following:
(a) the results of all laboratory
tests;
(b) the name of each
referral provider; and
(c) the
results of any component of the Medical Schedule that was delivered by another
provider.
(B)
Determination of Compliance with Medical Standards.
The MassHealth agency may review the medical records of members receiving EPSDT
services to determine the necessity and quality of the medical services
provided. Any such determinations will be made in accordance with
130 CMR 450.204
and
130 CMR
450.206.
Notes
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