School Wellbeing: EPSDT.


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School Health: EPSDT Virginia Department of Medical Assistance Services (DMAS) October 6, 2009

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Eligibility for School Based EPSDT Screenings To be qualified for administrations gave by a school division, the beneficiary must be an as of now enlisted 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 selected in a Medicaid oversaw care association (MCO) must have EPSDT well-tyke screenings facilitated through the MCO. School divisions may not charge DMAS straightforwardly for EPSDT well-tyke screenings for MCO selected youngsters. 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 tyke visits and ought to happen as per the DMAS periodicity plan (connected). Suppliers must acquire a restorative history that is comprehensive of psychological wellness hazard variables and reports 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 complete wellbeing screening/admirably kid visit substance ought to be in accordance with the most current proposals of the American Academy of Pediatrics (AAP), Guidelines for Health Supervision Another asset for preventive wellbeing rules is the " Bright Futures/AAP: 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 suggested screenings: These are normal "well youngster 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 discontinuous 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 An exhaustive wellbeing and formative history (counting appraisal of both physical and psychological wellness improvement); A far reaching unclothed physical exam; DMAS - Providing High Quality Comprehensive Health Services

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

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Mandated Screening Elements Age proper inoculations (if required) Immunizations are planned by: Committee on Immunization Practices (ACIP) rules: http://www.cdc.gov/nip/recs/tyke 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 suitable for age and hazard elements); 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 therapeutically 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 social insurance, indicative administrations, and " treatment " as recorded in the Federal Medicaid statute, must be given when medicinally important to amend 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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