Common use of EPSDT Clause in Contracts

EPSDT. EPSDT screens for any new enrollee under the age of twenty-one (21) must be scheduled within forty-five (45) days from the effective date of enrollment unless the child is already under the care of a PCP and the child is current with screens and immunizations. The Contractor must ensure that PCPs follow-up with those Members described in the above Section V.S.12 for any missed appointments. The PCP or specialist must send two (2) notices of missed appointments and make a follow-up telephone call to the Member for any missed appointments and the PCP or specialist must document these in the medical record.