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11-21 Years Epsdt Visit Form - Mississippi
11-21 Years Epsdt Visit Form is a legal document that was released by the Mississippi Division of Medicaid - a government authority operating within Mississippi.
FAQ
Q: What is the 11-21 Years EPSDT Visit Form?
A: The 11-21 Years EPSDT Visit Form is a form used in Mississippi for young individuals aged 11 to 21 to receive early and periodic screening, diagnostic, and treatment (EPSDT) services.
Q: Who is eligible for the 11-21 Years EPSDT Visit Form?
A: Individuals aged 11 to 21 in Mississippi are eligible for the 11-21 Years EPSDT Visit Form.
Q: What are EPSDT services?
A: EPSDT services include comprehensive health assessments, vision screenings, hearing screenings, immunizations, dental services, and other necessary health care for individuals under the age of 21.
Q: How can individuals obtain the 11-21 Years EPSDT Visit Form?
A: Individuals can obtain the 11-21 Years EPSDT Visit Form by contacting their local Mississippi Medicaid office or healthcare provider.
Q: What is the purpose of the 11-21 Years EPSDT Visit Form?
A: The purpose of the 11-21 Years EPSDT Visit Form is to ensure that individuals aged 11 to 21 in Mississippi receive necessary health care services to prevent and treat health issues.
Form Details:
- The latest edition currently provided by the Mississippi Division of Medicaid;
- Ready to use and print;
- Easy to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Mississippi Division of Medicaid.
