23 Miss. Code. R. 223-1.1 - Program Description
A. The Division of
Medicaid has established a program of Early and Periodic Screening, Diagnosis,
and Treatment (EPSDT) which provides screenings, preventive and comprehensive
health services for certain beneficiaries who are eligible for full Medicaid
benefits. EPSDT services are provided to beneficiaries under age twenty-one
(21).
B. EPSDT stands for:
1. Early is assessing health care in early
life so that potential disease and disabilities can be prevented or detected in
their preliminary states, when they are most effectively treated.
2. Periodic is assessing a child's health at
regular, recommended intervals in the child's life to assure continued healthy
development.
3. Screening is the
use of tests and procedures to determine if children being examined have
conditions warranting closer medical or dental attention.
4. Diagnosis is the determination of the
nature or cause of conditions identified by the screening.
5. Treatment is the provision of services
needed to control, correct or lessen health problems.
C. Providers of EPSDT screenings must be
currently enrolled Mississippi Medicaid providers, have signed an EPSDT
specific provider agreement, and must adhere to the American Academy of
Pediatrics (AAP) Bright Futures Periodicity Schedule. EPSDT screening providers
include, but are not limited to:
1. The
Mississippi State Department of Health,
2. Public schools and/or public school
districts certified by the Mississippi Department of Education,
3. Federally Qualified Health Centers (FQHC),
4. Rural Health Clinics (RHC),
5. Comprehensive health clinics,
and
6. Similar agencies which
provide various components of EPSDT screenings.
D. EPSDT diagnostic and treatment services
are primarily provided by referral to other enrolled Mississippi Medicaid
providers.
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