130 CMR, § 450.143

Current through Register 1538, January 3, 2025
Section 450.143 - EPSDT Services: Description of Medical Protocol and Periodicity Schedule Visits (EPSDT Visits)
(A)Initial EPSDT Visit.
(1) An initial EPSDT visit must be provided for every
(a) new member;
(b) member previously seen only for sick care; and
(c) newborn previously seen only in the hospital.
(2) An initial EPSDT visit includes the recording of
(a) family, medical, behavioral health, developmental, and immunization history;
(b) a review of all systems;
(c) a comprehensive physical examination; and
(d) all exams, assessments, screening, and laboratory work indicated on the Medical Schedule as appropriate for the member's age.

130 CMR, § 450.143

Amended by Mass Register Issue 1341, eff. 6/16/2017.
Amended by Mass Register Issue S1345, eff. 8/11/2017.
Amended by Mass Register Issue 1354, eff. 12/18/2017.
Amended by Mass Register Issue 1420, eff. 7/1/2020.
Amended by Mass Register Issue 1495, eff. 5/1/2023 (EMERGENCY).
Amended by Mass Register Issue 1504, eff. 8/24/2023 (EMERGENCY).
Amended by Mass Register Issue 1506, eff. 8/24/2023 (COMPLIANCE).
Amended by Mass Register Issue 1537, eff. 4/1/2024.