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EAZ
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Revised October 28, 2007 |
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Purpose: This category pertains to Medical Assistance only. The department operates a specially focused health care program for infants, children and teens. The program provides Early and Periodic Screening, Diagnosis and Treatment (EPSDT) for individuals up through the day before their 21st birthday. In Washington, this program is called Healthy Kids. |
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EPSDT WAC 388-534-0100Effective January 29, 2001
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CLARIFYING INFORMATION This program provides preventive and enhanced service coverage for minors who are otherwise eligible for medical assistance. It is available to clients through their CN, MN or "H" Medical Identification cards and requires no special handling by the CSO. The significance of this program is that medically necessary services identified within the periodic Healthy Kids screening performed by medical service providers are covered by the program even if the services are not otherwise covered services under the standard scope of care. For more information, see Scope of Care. Healthy Kids applies to all children who are eligible for Medical Assistance programs. Parents who are under 21 years or age and who are on CN or MN coverage are also eligible for Healthy Kids services. "Under 21" means through the day before their 21st birthday. In the past, there has been confusion between the terms "Healthy Kids" and "H" medical. "H" medical is a coverage program for children based on established income standards (see Family Medical). Children on "H" medical are eligible for Healthy Kids as are children on CN and MN medical coverage. CSOs SHOULD HAVE THE FOLLOWING IN STOCK:
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