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Early and Periodic Screening, Diagnosis and …

Early and Periodic screening , Diagnosis and Treatment Program EPSDT Florida -Sunshine Health Annual Training EPSDT Overview EPSDT purpose and requirements mandated by the Agency for Health Care Administration (AHCA) Utilization Management determinations for members under 21 years of age for non-covered services and/or exhausted benefits EPSDT policy and procedure for the Utilization Management review process and covered services Processing requests for services including special considerations, medical director review and benefit exceptions 2 EPSDT Part I AHCA Requirements 3 AHCA Requirements Florida s Agency for Health Care Administration outlines the requirements of the: Well Child Visit Program Well Child Visit Program is Florida s name for the federal program known as: Early and Periodic screening , Diagnosis and Treatment Program (EPSDT) 4 What is EPSDT?

Early and Periodic Screening, Diagnosis and Treatment Program . EPSDT . Florida - Sunshine Health Annual Training

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