La. Admin. Code tit. 50 § XV-6501

Current through Register Vol. 50, No. 11, November 20, 2024

Section XV-6501 - Screening Services

A. All providers of early and periodic screening, diagnosis and treatment (EPSDT) preventive screening services shall be required to submit information to the Medicaid Program regarding recipient immunizations, referrals, and health status.

B. Screening services rendered to Medicaid-eligible children under 21 years of age and reimbursable under the EPSDT Program shall include:

1. health education (including anticipatory guidance) as a minimum component in addition to a comprehensive health and development history (including assessment of both physical and mental health development);

2. a comprehensive unclothed physical exam;

3. appropriate immunizations according to age and health history; and

4. laboratory tests (including blood lead level assessment appropriate for age and risk factors).

C. Vision and hearing services shall be performed according to distinct periodicity schedules which meet reasonable standards of medical practice, as determined after consultation with recognized medical organizations involved in child health care.

La. Admin. Code tit. 50, § XV-6501

Promulgated by the Department of Health and Hospitals, Bureau of Health Services Financing, LR 39:318 (February 2013).

AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.