Minnesota Administrative Rules

9505.1703 ELIGIBILITY TO PROVIDE SCREENING.

Subpart 1.

Providers.

An EPSDT clinic or a community health clinic shall be approved for medical assistance reimbursement for EPSDT services if it complies with the requirements of parts 9505.1693 to 9505.1748. A Head Start agency shall be approved as provided by subpart 2.

Subp. 2.

EPSDT provider agreement.

To be eligible to provide screening and receive reimbursement under the EPSDT program, an individual or facility must sign an EPSDT provider agreement provided by the department and a medical assistance provider agreement under part 9505.0195 or be a prepaid health plan.

Subp. 3.

Terms of EPSDT provider agreement.

The EPSDT provider agreement required by subpart 2 must state that the provider must:

A.

screen children according to parts 9505.1693 to 9505.1748;

B.

report all findings of the screenings on EPSDT screening forms; and

C.

refer children for diagnosis and treatment if a referral is indicated by the screening.

The EPSDT provider agreement also must state that the department will provide training according to part 9505.1712 and will train and consult with the provider on billing and reporting procedures.

Statutory Authority:

MS s 256B.04; 256B.0625

History:

13 SR 1150

Published Electronically:

August 12, 2008