Provide Information on EPSDT and Notification of Screening Due Dates Sample Clauses

Provide Information on EPSDT and Notification of Screening Due Dates. The MCO must provide a combination of written and oral methods designed to effectively inform all EPSDT-eligible individuals (or their families) about the EPSDT program. MCOs must have an established process for reminders, follow-ups, and outreach to EPSDT service enrollees. The MCO must inform all EPSDT eligible individuals (or their families) about the EPSDT program using clear and non-technical language. The MCO must meet the federal EPSDT informing requirements as specified in 42 CFR 441.56 and must provide information that includes the following:
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Provide Information on EPSDT and Notification of Screening Due Dates. The MCO must provide a combination of written and oral methods designed to effectively inform all EPSDT-eligible individuals (or their families) about the EPSDT program. MCOs must have an established process for reminders, follow-ups, and outreach to EPSDT service enrollees. The MCO must inform all EPSDT eligible individuals or their representatives about the EPSDT program using clear and non-technical language. The MCO must meet the federal EPSDT informing requirements as specified in 42 CFR 441.56 and must provide information that includes the following: 1. The benefits of preventive health care; 2. The services available under the EPSDT program and where and how to obtain those services; 3. A statement that the services provided under the EPSDT program are without cost to eligible individuals under twenty-one (21) years of age; and 4. A statement that necessary transportation and scheduling assistance is available to the EPSDT eligible individual upon request (non-emergency transportation is paid by the Department outside of the MCO capitation system).
Sample 1Sample 2See All (4)
Provide Information on EPSDT and Notification of Screening Due Dates. The MCO must provide a combination of written and oral methods designed to effectively inform all EPSDT-eligible individuals (or their families) about the EPSDT program. MCOs must have an established process for ensuring all reminders, follow-ups, and outreach to EPSDT service enrollees are accessible and culturally competent for all enrollee populations. The MCO must provide all EPSDT eligible individuals (or their families) with accurate, current information about the EPSDT program using clear and non-technical language. The MCO must inform each new enrollee under the age of 21 about HealthCheck services as specified by 42 CFR §441.56 within five (5) calendar days of receipt of the monthly enrollment file. The MCO may meet this requirement by including information with the new enrollee materials as specified in 42 CFR §441.56 that must provide information that includes the following: 1. The benefits of preventive health care; 2. The services available under the EPSDT program and where and how to obtain those services; 3. A list of the intervals at which enrollees under the age of 21 should receive screening examinations, as indicated by the most recent version of the West Virginia Periodicity Schedule which aligns with the guidance published by Bright Futures/American Academy of Pediatrics; 4. A statement that the services provided under the EPSDT program are without cost to eligible individuals under twenty-one (21) years of age; and 5. A statement that necessary transportation and scheduling assistance is available to the EPSDT eligible individual upon request (non-emergency transportation is paid by BMS outside of the MCO capitation system).
Sample 1Sample 2Sample 3
Provide Information on EPSDT and Notification of Screening Due Dates. The MCO must provide a combination of written and oral methods designed to effectively inform all EPSDT-eligible individuals (or their families) about the EPSDT program. The MCO must have an established process for ensuring all reminders, follow-ups, and outreach to enrollees are accessible and culturally competent for all enrollee populations. The MCO must provide all EPSDT eligible individuals (or their families) with accurate, current information about the EPSDT program using clear and non-technical language. The MCO must inform each new enrollee under the age of twenty-one (21) about HealthCheck services as specified by 42 CFR §441.56 within five (5) calendar days of receipt of the monthly enrollment file. The MCO may meet this requirement by providing information with the new enrollee materials that includes the following: 1. The benefits of preventive health care; 2. The services available under the EPSDT program and where and how to obtain those services; 3. A list of the intervals at which enrollees under the age of twenty-one (21) should receive screening examinations, as indicated by the most recent version of the West Virginia Periodicity Schedule which aligns with the guidance published by Bright Futures/American Academy of Pediatrics; 4. A statement that the services provided under the EPSDT program are without cost to eligible individuals under twenty-one (21) years of age; and 5. A statement that necessary transportation and scheduling assistance is available to the EPSDT eligible individual upon request (non-emergency transportation is paid by BMS outside of the MCO capitation system).
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Related to Provide Information on EPSDT and Notification of Screening Due Dates

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