The department will pay for early and periodic screening, diagnosis, and treatment (EPSDT) services provided to a recipient under 21 years of age or to a justice-involved youth described in 7 AAC 105.110(6)(B). If the recipient is a justice-involved youth, EPSDT services covered by Medicaid are limited to screening and diagnostic services under 7 AAC 110.850. EPSDT services include

1. (1) screening for physical, behavioral, vision, dental, and hearing needs that meet the requirements of 7 AAC 110.205;
2. (2) any necessary health care, diagnostic services, treatment, or other services that meet the requirements of 7 AAC 110.210; and

3. (3) additional services if

   1. (A) a provider identified in 7 AAC 110.205(a) determines them to be medically necessary; and
   2. (B) they receive prior authorization from the department.

(Eff. 2/1/2010, Register 193; am 5/1/2016, Register 218)

Authority: AS 47.05.010, AS 47.07.030, AS 47.07.040