The department shall carry out the informing requirements specified in 42 CFR 441.56 as follows:

1. (a) The department or its designee shall inform all pregnant women and children who are eligible for a medicaid program, or the parent(s) or legal representative(s) of eligible children, about EPSDT services within 60 days of the individual’s initial eligibility determination for a medicaid program, and, in the case of families which have not utilized EPSDT services, annually thereafter, pursuant to 42 CFR 441.56(a)(4);
2. (b) The department or its designee shall complete the requirements set out in this section through written communications, oral communications, or any combination of both; and

3. (c) The department or its designee shall provide to recipients, or their parent(s) or legal representative(s), information about:

   1. (1) The services available under the EPSDT program;
   2. (2) The location of, and the requirements to obtain and use, the health care or dental services available under the EPSDT program;
   3. (3) The benefits of preventative health and dental care;
   4. (4) The availability of medicaid payment for medical and dental services provided under the EPSDT program;
   5. (5) The existence of other medical or social agencies available to assist a recipient, or to which a recipient might be referred, such as the department’s bureau of maternal and child health services or bureau of special medical services;
   6. (6) The availability of assistance in locating and accessing medical and dental services, upon request; and
   7. (7) The availability of assistance with scheduling of medical or dental appointments and obtaining transportation, upon request.

Source. (See Revision Note at chapter heading He-W 500); ss by #5532, eff 12-17-92, EXPIRED: 12-17-98 New. #6940, eff 1-30-99; ss and moved by #8782, eff 1-1-07 (from He-W 546.03); ss by #10829, eff 5-19-15; ss by #14383, eff 9-20-25, EXPIRES: 9-20-35