37.86.2205    EARLY AND PERIODIC SCREENING, DIAGNOSTIC AND TREATMENT SERVICES (EPSDT) , REQUIRED SCREENING AND PREVENTIVE SERVICES

(1) EPSDT screening and preventive services are available in accordance with this rule.

(2) The number and timing of comprehensive health, vision, hearing and dental screenings should follow the American Academy of Pediatrics (AAP) Bright Futures schedule.

(a) Screening and preventive services must include assessments, exams, immunizations, tests, and appropriate health education.

(b) Caregiver depression screenings are covered for caregivers of children under one year of age. Appropriate evidence-based screening tools should be administered to caregivers as needed. Positive screenings must be appropriately referred for follow-up care.

(3) More frequent screening services than those specified in the AAP Bright Futures schedule are covered when considered medically necessary to determine the existence of suspected physical or mental illnesses or conditions.

History: 53-2-201, 53-6-113, MCA; IMP, 53-2-201, 53-6-101, 53-6-111, 53-6-113, MCA; NEW, 1980 MAR p. 1790, Eff. 6/27/80; AMD, 1987 MAR p. 205, Eff. 2/27/87; AMD, 1987 MAR p. 895, Eff. 7/1/87; AMD, 1990 MAR p. 2299, Eff. 12/28/90; AMD, 1992 MAR p. 1402, Eff. 7/1/92; AMD, 1992 MAR p. 2788, Eff. 1/1/93; AMD, 1995 MAR p. 2501, Eff. 11/23/95; AMD, 1998 MAR p. 3219, Eff. 12/4/98; AMD, 1999 MAR p. 1379, Eff. 7/1/99; TRANS, from SRS, 2000 MAR p. 481; AMD, 2000 MAR p. 1664, Eff. 6/30/00; AMD, 2007 MAR p. 1824, Eff. 11/9/07; AMD, 2017 MAR p. 1153, Eff. 7/22/17.