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37.86.2205    EARLY AND PERIODIC SCREENING, DIAGNOSTIC AND TREATMENT SERVICES (EPSDT) , REQUIRED SCREENING AND PREVENTIVE SERVICES

(1) EPSDT screening and preventive services are available in accordance with this rule.

(2) The number and timing of comprehensive health, vision, hearing and dental screenings must be as specified in the EPSDT provider manual.

(a) More frequent screening services than those specified in the EPSDT provider manual are covered when considered medically necessary to determine the existence of suspected physical or mental illnesses or conditions.

(3) Screening and preventive services must include assessments, exams, immunizations, tests, health education, and other features as specified in the EPSDT provider manual.

(4) The department adopts and incorporates by reference the department's provider manual dated November 2006 posted at http://medicaidprovider.hhs.mt.gov. The provider manual, issued by the department to all providers of EPSDT services, informs providers of the requirements applicable to the delivery of services. A copy of the department's EPSDT provider manual is available from the Department of Public Health and Human Services, Health Resources Division, Medicaid Services Bureau, 1400 Broadway, P.O. Box 202951, Helena, MT 59620-2951. 

History: 53-2-201, 53-6-113, MCA; IMP, 53-2-201, 53-6-101, 53-6-111, 53-6-113, MCA; NEW, 1980 MAR p. 1790, Eff. 6/27/80; AMD, 1987 MAR p. 205, Eff. 2/27/87; AMD, 1987 MAR p. 895, Eff. 7/1/87; AMD, 1990 MAR p. 2299, Eff. 12/28/90; AMD, 1992 MAR p. 1402, Eff. 7/1/92; AMD, 1992 MAR p. 2788, Eff. 1/1/93; AMD, 1995 MAR p. 2501, Eff. 11/23/95; AMD, 1998 MAR p. 3219, Eff. 12/4/98; AMD, 1999 MAR p. 1379, Eff. 7/1/99; TRANS, from SRS, 2000 MAR p. 481; AMD, 2000 MAR p. 1664, Eff. 6/30/00; AMD, 2007 MAR p. 1824, Eff. 11/9/07.

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