Alaska Administrative Code
Title 7 - Health and Social Services
Part 8 - Medicaid Coverage and Payment
Chapter 110 - Medicaid Coverage; Professional Services
Article 5 - EPSDT Services
7 AAC 110.205 - EPSDT screening services
Universal Citation: 7 AK Admin Code 110.205
Current through November 28, 2024
(a) To be covered under 7 AAC 105 - 7 AAC 160, an EPSDT screening must be performed by one or more of the following providers enrolled under 7 AAC 105 - 7 AAC 160:
(1) a physician;
(2) a licensed or certified health care
practitioner who performs a screening under the supervision of a physician, if
the health care practitioner may perform screenings under the health care
practitioner's scope of license or certification;
(3) the department;
(4) a tribal health program;
(5) an advanced practice registered
nurse;
(6) a rural health clinic or
federally qualified health center;
(7) a municipal health department;
(8) a school district.
(b) To be covered under 7 AAC 105 - 7 AAC 160, an EPSDT screening must include
(1) a
comprehensive medical screening that meets the minimum recommendations of the
Bright Futures/American Academy of Pediatrics Recommendations for
Preventive Pediatric Health Care, adopted by reference in
7
AAC 160.900, with additional screenings performed as
medically necessary;
(2) a dental
screening that meets the minimum recommendations of the American Academy of
Pediatric Dentistry's Recommendations for Pediatric Oral Health
Assessment, Preventive Services, and Anticipatory
Guidance/Counseling, and supporting information of the American
Academy of Pediatric Dentistry's Guideline on Periodicity of
Examination, Preventive Dental Services, Anticipatory Guidance/Counseling, and
Oral Treatments for Infants, Children, and Adolescents, adopted by
reference in
7
AAC 160.900;
(3) a vision screening that includes a
referral to a vision care services provider at three years of age and annually
thereafter; if medically necessary, the department will pay for
(A) more frequent examinations by a vision
care services provider; or
(B) a
referral to a vision care services provider before the child is three years of
age;
(4) a hearing
screening and, if medically necessary, referral for diagnosis and treatment of
defects in hearing; and
(5) lead
screenings at 12 months of age and 24 months of age.
Authority:AS 47.05.010
AS 47.07.030
AS 47.07.040
Disclaimer: These regulations may not be the most recent version. Alaska may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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