23 Miss. Code. R. 223-1.3 - Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Provider Participation Requirements
A. Enrolled
Mississippi Medicaid providers who have signed an Early and Periodic Screening,
Diagnosis, and Treatment (EPSDT) specific provider agreement must conduct
periodic screenings and medically necessary inter periodic visits for all
EPSDT-eligible beneficiaries in accordance with the EPSDT Periodicity Schedule
as recommended by the American Academy of Pediatrics (AAP) Bright Futures
Periodicity Schedule and must provide or refer EPSDT-eligible beneficiaries
with an identified need for additional assessment, diagnosis, and/or treatment
services to an appropriate provider.
B. Dental providers must provide services to
all EPSDT-eligible beneficiaries in accordance with the dental schedule of the
American Academy of Pediatric Dentistry (AAPD) and in accordance with AAP
guidelines. Dental providers must provide or refer EPSDT-eligible beneficiaries
with an identified need for additional assessment, diagnosis, and/or treatment
services to an appropriate provider.
C. EPSDT screening providers must refer
EPSDT-eligible beneficiaries to other enrolled Mississippi Medicaid licensed
practitioners of the beneficiary's choice for assessment, diagnosis and/or
treatment services necessary to correct or ameliorate any physical, mental,
psychosocial and/or behavioral health conditions discovered by the screenings,
whether or not such services are covered under the State Plan.
D. Off-site Early and Periodic Screening,
Diagnosis and Treatment (EPSDT) screening providers must submit the following
information to the Division of Medicaid:
1. A
completed and signed secondary location form documenting the off-site
provider's ability to complete all age-appropriate components of EPSDT
screenings;
2. An attestation that
the EPSDT screenings will be completed by an approved EPSDT screening provider
who has completed the Division of Medicaid's EPSDT provider agreement and that
all required equipment and supplies are available at the off-site
location.
3. A signed agreement
between the off-site location authority including, but not limited to, a school
superintendent, principal, day care director, and the screening
provider.
4. A list of all physical
addresses of the off-site locations where the EPSDT screenings will be provided
and a monthly schedule for each location designating the dates and times the
EPSDT screenings will be offered.
5. Information packet materials including,
but not limited to, letters, consent forms, and examples of anticipatory
guidance information sheets to be provided which must be prior approved by the
Division of Medicaid.
6. A copy of
the provider's Clinical Laboratory Improvement Amendments (CLIA) Certificate of
Waiver or CLIA number, if applicable.
E. EPSDT screenings cannot begin at an
off-site location until an approval has been authorized in writing by the
Division of Medicaid.
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.