130 CMR, § 450.150

Current through Register 1536, December 6, 2024
Section 450.150 - Preventive Pediatric Health-care Screening and Diagnosis (PPHSD) Services for Certain MassHealth Members
(A) MassHealth has established a program of preventive pediatric health-care screening and diagnosis services for MassHealth members younger than 21 years old who are enrolled in MassHealth Family Assistance. MassHealth Standard and MassHealth CommonHealth members are entitled to Early and Periodic Screening, Diagnosis and Treatment (EPSDT) services pursuant to 130 CMR 450.140.
(B) Any qualified MassHealth provider may deliver preventive pediatric health-care screening and diagnosis services.
(1) In delivering preventive pediatric health-care screening and diagnosis services, providers must
(a) follow the procedures listed in the Medical Schedule; and
(b) comply with the regulations at 130 CMR 450.140 through 450.150.
(2) Preventive pediatric health-care screening and diagnosis services include health, vision, dental, hearing, behavioral health, developmental, and immunization status screening services.
(3) To interpret the applicable EPSDT regulations for children enrolled in MassHealth Family Assistance, providers should substitute the term, preventive pediatric health-care diagnosis and treatment services, for the term, Early and Periodic Screening, Diagnosis and Treatment Services, wherever it appears.
(C) Providers delivering preventive pediatric health-care screening and diagnosis services should provide members with, or refer members for, additional diagnosis and treatment services according to 130 CMR 450.105.

130 CMR, § 450.150

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.