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 (PPHSD) 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 in accordance with 130 CMR 450.140. (B) Any qualified MassHealth provider may deliver PPHSD services. (1) In delivering PPHSD services, providers must (a) follow the procedures listed in the Medical Schedule; and (b) comply with 130 CMR 450.140 through 450.143 and 130 CMR 450.145 through 450.150. (2) PPHSD services include health, vision, dental, hearing, behavioral health, developmental, and immunization status screening services. PPHSD services do not include services that are not otherwise covered for MassHealth members enrolled in MassHealth Family Assistance. (3) To interpret 130 CMR 450.140 through 450.143 and 130 CMR 450.145 through 450.150 for MassHealth members younger than 21 years old who are enrolled in MassHealth Family Assistance, providers should substitute the term “preventive pediatric health-care screening and diagnosis (PPHSD) services” for the term “Early and Periodic Screening, Diagnosis and Treatment (EPSDT) services” wherever it appears. 1. Introduction (130 CMR 450.000) (C) Providers delivering PPHSD services should provide members with, or refer members for, additional diagnosis and treatment services according to 130 CMR 450.105. (130 CMR 450.151 through 450.199 Reserved) 2. Administrative Regulations