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EPSDT Bright Futures Fourth Edition Updates

The American Academy of Pediatrics (AAP) recently released Bright Futures Guidelines for Health Supervision of Infants, Children and Adolescents, 4th, Edition. A summary of the changes can be found on the Bright Futures website.

In the coming month, effective Aug. 1, 2017, to comply with Bright Futures recommendations the Mississippi Division of Medicaid (DOM) will no longer reimburse a separate fee for adolescent counseling when billed on the same date of service (DOS) as a wellness visit. Adolescent counseling is included in anticipatory guidance during the preventive medicine visit.

Providers may bill adolescent counseling as a separate reimbursable service with evaluation and management codes. Providers may utilize the adolescent counseling form available on the Forms webpage, but the form is not required.

Effective Jan. 1, 2017, DOM reimburses a separate fee in addition to the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) periodic screenings for maternal depression screening. DOM is in the process of updating Mississippi Administrative Code Title 23, Part 223 and Provider Reference Guide to reflect the changes.

If you have any questions, please contact the Office of Medical Services by phone at 601-359-6150.

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