EPSDT / TENNderCare: Early and Periodic Screening, Diagnosis and Treatment (EPSDT)

 

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What is EPSDT?

EPSDT is a federal requirement for all Medicaid programs related to early identification and treatment of health care conditions for children. In Tennessee, EPSDT is called TENNderCare. For more information see  "State and Federal Requirements".

 

Components of EPSDT/TENNderCARE exams include:

  • Comprehensive Health (Physical and Mental) and Developmental History
    • Initial and Interval History
    • Developmental/Behavioral Assessment
  • Comprehensive Unclothed Physical Exam
  • Vision Screening
  • Hearing Screening
  • Laboratory Tests
  • Immunizations
  • Health Education/ Anticipatory Guidance

 

TNAAP can help you:

  • Improve the quality of preventive health screens you perform
  • Maximize reimbursement
  • Reduce administrative costs
  • Improve audit outcomes



Use our resource and reference materials:

  • Free EPSDT training programs (formal or informal) at your practice
  • Downloadable age-specific chart documentation forms
  • Other sample forms such as lead and TB risk assessment forms
  • A comprehensive EPSDT manual with detail regarding:
    • Requirements of each component
    • Dental referrals
    • State audit standards
    • Reporting fraud and abuse
    • Filing a medical appeal with an MCO
  • Information and resources regarding Developmental and Behavioral screening

 

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Preventive Care and Coding;
Training and Resources
Available from TNAAP

View the contents of this brochure (PDF)

 

For more information about EPSDT and our resources contact:

Ruth E. Allen, TNAAP Executive Director
Phone: 865-927-3030     Email: info@tnaap.org

Janet Smith, RHIT, CPC    Coding Educator
Phone: 615-672-1355     Email: janet.smith@tnaap.org

Deborah O. Usry, M.Ed     Director of Training
Phone: 615-376-4829     Email: deborah.usry@tnaap.org