School Wellbeing: EPSDT.


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DMAS - Providing High Quality Comprehensive Health Services ... wellbeing rules is the AAP good
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School Health: EPSDT Virginia Department of Medical Assistance Services (DMAS) October 2-3, 2007

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Training Goals Overview of EPSDT Screening content Specific Screening Guidelines Lead Testing and Vaccines For Children Diagnosis and Treatment EPSDT Specialized Services Referral Process DMAS - Providing High Quality Comprehensive Health Services

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EPSDT Overview

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What are EPSDT Services? EPSDT administrations include: Screening/Well Child registration, lead testing and inoculations Other treatment administrations to redress a restorative condition, improve it, or keep the kid " s wellbeing status from compounding DMAS - Providing High Quality Comprehensive Health Services

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Eligibility for EPSDT Screenings To be qualified for administrations gave by a school division, the beneficiary must be a right now selected Medicaid or FAMIS Plus/Medallion beneficiary less than 22 years old years or a FAMIS enrollee less than 19 years old. DMAS - Providing High Quality Comprehensive Health Services

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Eligibility for EPSDT Screenings Students enlisted in a Medicaid oversaw care association (MCO) must have EPSDT well-youngster screenings composed through the MCO. School divisions may not charge DMAS straightforwardly for EPSDT well-tyke screenings for MCO enlisted kids. DMAS - Providing High Quality Comprehensive Health Services

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EPSDT Screenings

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Screening Definition EPSDT screenings are Medicaid\'s well kid visits and ought to happen as indicated by the DMAS periodicity plan (appended). Suppliers must acquire a therapeutic history that is comprehensive of psychological well-being danger components and archives the family\'s history of emotional well-being conditions. DMAS - Providing High Quality Comprehensive Health Services

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Screening Content Regardless of the social insurance conveyance framework (whether MCO or FFS), the far reaching wellbeing screening/great youngster visit substance ought to be in accordance with the most current suggestions of the American Academy of Pediatrics (AAP), Guidelines for Health Supervision Another asset for preventive wellbeing rules is the AAP good " Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents" DMAS - Providing High Quality Comprehensive Health Services

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EPSDT Screeners School Health Clinics who utilize: Physician Certified Nurse Practitioner Physicians Assistant DMAS - Providing High Quality Comprehensive Health Services

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Types of Screenings AAP prescribed screenings: These are commonplace "well tyke care" They are led by DMAS periodicity plan DMAS - Providing High Quality Comprehensive Health Services

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Types of Screenings Inter-occasional or halfway screenings: These are irregular doctor experiences or "wiped out visits" Problem-centered screening DMAS - Providing High Quality Comprehensive Health Services

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1 month 2 months 4 months 6 months 9 months 12 months 15 months year and a half 2 years 3 years 4 years 5 years 6 years 8 years 10 years 12 years 14 years 16 years 18 years 20 years Screening Schedule DMAS - Providing High Quality Comprehensive Health Services

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Mandated Screening Elements A far reaching wellbeing and formative history (counting evaluation of both physical and psychological well-being advancement); An exhaustive unclothed physical exam; DMAS - Providing High Quality Comprehensive Health Services

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Mandated Screening Elements Vision screening by a state administered testing technique as per the DMAS periodicity plan; Hearing screening by a government sanctioned testing strategy as indicated by the DMAS periodicity plan; Developmental screening with a standard screening apparatus as per the American Academy of Pediatrics rules; DMAS - Providing High Quality Comprehensive Health Services

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Mandated Screening Elements Age suitable vaccinations (if required) Immunizations are booked by: Committee on Immunization Practices (ACIP) rules: http://www.cdc.gov/nip/recs/kid schedule.htm DMAS - Providing High Quality Comprehensive Health Services

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Mandated Screening Elements Laboratory tests (counting lead blood testing at 12 and 24 months or for another patient with obscure history up to 72 months or as fitting for age and hazard components); Health Education/Anticipatory Guidance/issue centered direction and advising. DMAS - Providing High Quality Comprehensive Health Services

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Screening and Treatment The aftereffects of the examination may show a referral for particular restoratively essential Medicaid secured administrations Coordinate Treatment needs with the essential consideration supplier DMAS - Providing High Quality Comprehensive Health Services

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EPSDT Scope of Services Individualized human services, symptomatic administrations, and " treatment " as recorded in the Federal Medicaid statute, must be given when medicinally important to remedy and improve physical and mental conditions found amid screening administrations regardless of whether incorporated into the state arrangement DMAS - Providing High Quality Comprehensive Health Services

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Thank You! EPSDT Coordinator Brian Campbell 804-786-0342 brian.campbell@dmas.virginia.gov DMAS - Providing High Quality Comprehensive Health Services

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