This is a legal form that was released by the Alabama Medicaid Agency - a government authority operating within Alabama. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form 172 EPSDT Child Health Medical Record?
A: Form 172 EPSDT Child Health Medical Record is a documentation form used in Alabama for tracking a child's health and medical information.
Q: What is EPSDT?
A: EPSDT stands for Early and Periodic Screening, Diagnosis, and Treatment. It is a comprehensive child health program that focuses on preventive and developmental services for eligible children.
Q: Who uses Form 172 EPSDT Child Health Medical Record?
A: Healthcare providers, particularly in Alabama, use Form 172 EPSDT Child Health Medical Record to document a child's health information and services provided.
Q: What information is included in Form 172 EPSDT Child Health Medical Record?
A: Form 172 includes information such as the child's personal details, medical history, developmental milestones, immunizations, screenings, and treatments received.
Q: Why is Form 172 EPSDT Child Health Medical Record important?
A: Form 172 is important for monitoring a child's health and ensuring they receive appropriate screenings, diagnoses, and treatments as part of the EPSDT program.
Q: How often should Form 172 EPSDT Child Health Medical Record be updated?
A: Form 172 should be updated regularly to reflect a child's current health status, milestones, and any changes in treatments or services received.
Q: Is Form 172 EPSDT Child Health Medical Record confidential?
A: Yes, Form 172 EPSDT Child Health Medical Record is confidential and should only be accessed by authorized healthcare providers for the child's care and treatment purposes.
Q: Can Form 172 EPSDT Child Health Medical Record be used in other states?
A: Form 172 is specific to Alabama, but other states may have similar forms or documentation requirements for the EPSDT program.
Q: Who is eligible for EPSDT services in Alabama?
A: In Alabama, children under the age of 21 who are enrolled in Medicaid are generally eligible for EPSDT services.
Form Details:
Download a printable version of Form 172 by clicking the link below or browse more documents and templates provided by the Alabama Medicaid Agency.