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FORM CMS-416: ANNUAL EPSDT PARTICIPATION REPORT

FORM CMS-416: ANNUAL EPSDT PARTICIPATION REPORT

www.cms.gov

form cms-416 (06/99) department of health and human services centers for medicare & medicaid services form approved omb no. 0938-0354 form cms-416: annual epsdt participation report

  Annual, Participation, Epsdt, Cms 416, Annual epsdt participation

CMS 416 Reporting Instructions - Medicaid

CMS 416 Reporting Instructions - Medicaid

www.medicaid.gov

2700.4 Instructions for Completing Form CMS-416: Annual Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Participation Re port . Effective for the reporting period federal fiscal year 2020 (October 1, 2019 through September 30, 2020), with submission of Form CMS-416 by April 1, 2021.

  Annual, Instructions, Medicaid, Participation, Epsdt, Cms 416

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