Common use of Provide Information on EPSDT and Notification of Screening Due Dates Clause in Contracts

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).

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 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: 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 BMS outside of the MCO capitation system).