130 CMR, § 450.150 - Preventive Pediatric Health-care Screening and Diagnosis (PPHSD) Services for Certain MassHealth Members
(A)
MassHealth has established a program of preventive pediatric health-care
screening and diagnosis services for MassHealth members younger than 21 years
old who are enrolled in MassHealth Family Assistance. MassHealth Standard and
MassHealth CommonHealth members are entitled to Early and Periodic Screening,
Diagnosis and Treatment (EPSDT) services pursuant to
130
CMR 450.140.
(B) Any qualified MassHealth provider may
deliver preventive pediatric health-care screening and diagnosis services.
(1) In delivering preventive pediatric
health-care screening and diagnosis services, providers must
(a) follow the procedures listed in the
Medical Schedule; and
(b) comply
with the regulations at
130
CMR 450.140 through 450.150.
(2) Preventive pediatric
health-care screening and diagnosis services include health, vision, dental,
hearing, behavioral health, developmental, and immunization status screening
services.
(3) To interpret the
applicable EPSDT regulations for children enrolled in MassHealth Family
Assistance, providers should substitute the term, preventive pediatric
health-care diagnosis and treatment services, for the term, Early and Periodic
Screening, Diagnosis and Treatment Services, wherever it appears.
(C) Providers delivering
preventive pediatric health-care screening and diagnosis services should
provide members with, or refer members for, additional diagnosis and treatment
services according to
130 CMR
450.105.
Notes
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No prior version found.