UM104 – Early and Periodic Screening, Diagnostic, and Treatment Services (EPSDT)

This document outlines the Early and Periodic Screening, Diagnostic, and Treatment Services (EPSDT) provided by Colorado Access for members aged 20 and younger. It details the covered medically necessary services, including assessments, preventative care, and various therapies. The policy emphasizes the commitment to ensuring access to comprehensive healthcare and the procedures for care management and utilization review. It also includes guidelines for documentation and communication with members and providers about EPSDT services. Overall, the EPSDT program aims to enhance the health outcomes of young members through proactive screening and treatment.