Ala. Admin. Code r. 560-X-11-.02

Current through Register Vol. 43, No. 1, October 31, 2024

Section 560-X-11-.02 - Major Components Of EPSDT

(1) Early - As early as possible in the life of a child already Medicaid eligible or as soon as possible after a person's eligibility is established, if he or she is under twenty-one (21) years of age;

(2) Periodic - At intervals established by Medicaid to assure that disease or disability is not incipient or present in persons eligible for the EPSDT services;

(3) Screening - Assessment of the physical and mental health of all persons under twenty-one (21) years of age who are Medicaid eligible;

(4) Diagnosis - Further study of persons to determine the nature or cause of disease or abnormality to provide a frame of reference for treatment;

(5) Treatment - Any Treatment available under the Alabama Medicaid Program including eyeglasses, hearing aids and other necessary health care, diagnostic services to correct or ameliorate defects, physical and mental illnesses and conditions discovered during a screening.

Author: Laurie McEnery

Ala. Admin. Code r. 560-X-11-.02

Rule effective October 1, 1982. Amended: Effective June 8, 1985. Emergency rule effective December 1, 1986. Amended: Effective March 12, 1987. Emergency rule effective October 1, 1990. Amended: Effective February 13, 1991.

Statutory Authority: Title XIX, Social Security Act; State Plan; 42 C.F.R. §441.50; OBRA '89 §6403.