What does Epsdt include?
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 do I bill Epsdt?
All EPSDT screening services must be reported with the age-appropriate evaluation and management code along with the EP modifier. The EP modifier must follow the evaluation and management code in the first line of Block 24D on the claim form. Use CPT Modifier plus CPT code when applicable.
What is Epsdt special?
The Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit provides comprehensive and preventive health care services for children under age 21 who are enrolled in Medicaid. Treatment: Control, correct or reduce health problems found.
What is Epsdt and its purpose?
EPSDT is a mandated benefit that puts preventive and wellness care front and center for children. It is the responsibility of each state to provide this benefit to children and adolescents enrolled in the Medicaid program until they are 21 years of age.
What does EPSDT stand for in medical billing?
A. “EPSDT” stands for Early and Periodic Screening, Diagnostic and Treatment. The EPSDT benefit provides comprehensive and preventive health services for children under age 21 who are enrolled in Medicaid.
What is an Epsdt code?
Early Periodic Screening, Diagnosis and Treatment
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. These services make sure infants, children, teens and young adults receive the health care they need.
What is a EPSDT coordinator?
The Early, Periodic, Screening, Diagnosis and Treatment(EPSDT) Coordinator for the Behavioral Health Care Services Agency provides leadership in developing, planning, organizing and directing the activities associated with the growth of children’s mental health services provided under the Early, Periodic, Screening.
What age is EPSDT for?
Infants, children, and youth up to age 21 with full-scope Medi-Cal are able to receive EPSDT services.
Who is eligible for the Epsdt program?
All children under age 21 enrolled in Medicaid through the categorically needy pathway are entitled to the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit, which requires states to provide access to any Medicaid-coverable service in any amount that is medically necessary, regardless of whether …