Periodicity Schedule

Periodicity Schedule A. All children and adolescents under age twenty-one (21) who qualify for full medical assistance benefits coverage are eligible to receive EPSDT services. Eligible children must be provided written and oral information regarding the EPSDT preventative health program and a referral must be made to the provider of their choice. Medicaid beneficiaries have the right to freedom of choice of providers for Medicaid covered services. Refer to Part 200, Chapter 3, Rule 3.6. B. The EPSDT provider must adhere to the Periodicity Schedule below to receive Medicaid reimbursement for screening services: 1) Zero to one (0-1) month, 2) Two (2) months, 3) Four (4) months, 4) Six (6) months, 5) Nine (9) months, 6) Twelve (12) months, 7) Fifteen (15) months, 8) Eighteen (18) months, and 9) Yearly beginning at the age two (2) years, up to age twenty-one (21). C. The provider must schedule all health assessment screening appointments for the eligible beneficiary, according to the periodicity schedule. The provider must also make every effort to assist the beneficiary in keeping appointments for the health assessments. D. The Division of Medicaid defines declination of services as the failure of the family to keep appointments after two (2) attempts within a thirty (30) day period have been made by the provider to continue their participation in the EPSDT program. A refusal of services from the family is required to remove the child from the EPSDT program.