130 CMR, § 450.140

Current through Register 1536, December 6, 2024
Section 450.140 - Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Services
(A)Legal Basis.
(1) In accordance with federal law at 42 U.S.C. 1396d(a)(4)(b) and 1396d(r), and 42 CFR 441.50, and notwithstanding any limitations implied or expressed elsewhere in MassHealth regulations or other publications, the MassHealth agency has established a program of Early and Periodic Screening, Diagnostic and Treatment (EPSDT) for MassHealth Standard and MassHealth CommonHealth members younger than 21 years old, including those who are parents.
(2) Any qualified MassHealth provider may deliver EPSDT services. However, in delivering well-child care, providers must follow the EPSDT Medical Protocol and Periodicity Schedule.
(3) EPSDT screening services include among other things, health, vision, dental, hearing, behavioral health, developmental and immunization status screening services.
(4) The regulations governing the EPSDT program are set forth in 130 CMR 450.140 through 450.149.
(B)Program Objectives. The objectives of the EPSDT program are
(1) to provide comprehensive and continuous health care designed to prevent illness and disability;
(2) to foster early detection and prompt treatment of health problems before they become chronic or cause irreversible damage;
(3) to create an awareness of the availability and value of preventive well-child care services; and
(4) to create an awareness of the services available under the EPSDT program, and where and how to obtain those services.

130 CMR, § 450.140

Amended by Mass Register Issue 1341, eff. 6/16/2017.
Amended by Mass Register Issue S1345, eff. 8/11/2017.
Amended by Mass Register Issue 1354, eff. 12/18/2017.
Amended by Mass Register Issue 1407, eff. 9/25/2019.
Amended by Mass Register Issue 1420, eff. 7/1/2020.
Amended by Mass Register Issue 1495, eff. 5/1/2023 (EMERGENCY).
Amended by Mass Register Issue 1504, eff. 8/24/2023 (EMERGENCY).
Amended by Mass Register Issue 1506, eff. 8/24/2023 (COMPLIANCE).