1. (a) To be covered under 7 AAC 105 - 7 AAC 160, an EPSDT screening must be performed by one or more of the following providers enrolled under 7 AAC 105 - 7 AAC 160:

   1. (1) a physician;
   2. (2) a licensed or certified health care practitioner who performs a screening under the supervision of a physician, if the health care practitioner may perform screenings under the health care practitioner's scope of license or certification;
   3. (3) the department;
   4. (4) a tribal health program;
   5. (5) an advanced practice registered nurse;
   6. (6) a rural health clinic or federally qualified health center;
   7. (7) a municipal health department;
   8. (8) a school district.

2. (b) To be covered under 7 AAC 105 - 7 AAC 160, an EPSDT screening must include

   1. (1) a comprehensive medical screening that meets the minimum recommendations of the Bright Futures/American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care, adopted by reference in 7 AAC 160.900, with additional screenings performed as medically necessary;
   2. (2) a dental screening that meets the minimum recommendations of the American Academy of Pediatric Dentistry's Recommendations for Pediatric Oral Health Assessment, Preventive Services, and Anticipatory Guidance/Counseling, and supporting information of the American Academy of Pediatric Dentistry's Guideline on Periodicity of Examination, Preventive Dental Services, Anticipatory Guidance/Counseling, and Oral Treatments for Infants, Children, and Adolescents, adopted by reference in 7 AAC 160.900;

   3. (3) a vision screening that includes a referral to a vision care services provider at three years of age and annually thereafter; if medically necessary, the department will pay for

      1. (A) more frequent examinations by a vision care services provider; or
      2. (B) a referral to a vision care services provider before the child is three years of age;
   4. (4) a hearing screening and, if medically necessary, referral for diagnosis and treatment of defects in hearing; and
   5. (5) lead screenings at 12 months of age and 24 months of age.

(Eff. 2/1/2010, Register 193; am 5/11/2012, Register 202; am 5/1/2016, Register 218; am 9/1/2017, Register 223; am 4/24/2020, Register 234)

Authority: AS 47.05.010, AS 47.07.030, AS 47.07.040