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Epsdt Provider Enrollment Form - Alabama
Epsdt Provider Enrollment Form is a legal document that was released by the Alabama Medicaid Agency - a government authority operating within Alabama.
FAQ
Q: What is an EPSDT Provider Enrollment Form?
A: The EPSDT Provider Enrollment Form is a form used for providers to enroll in the EPSDT (Early and Periodic Screening, Diagnostic, and Treatment) program in Alabama.
Q: What is the EPSDT program?
A: The EPSDT program is a Medicaid program that provides comprehensive health care services to children under the age of 21.
Q: Who can enroll in the EPSDT program?
A: Providers, such as doctors, dentists, and other health care professionals, can enroll in the EPSDT program.
Q: Are there any requirements for providers to enroll in the EPSDT program?
A: Yes, providers must meet certain requirements, including being licensed and/or certified to provide the services they are enrolling for.
Q: Is there a fee to enroll in the EPSDT program?
A: No, there is no fee to enroll in the EPSDT program in Alabama.
Q: How long does it take to process the EPSDT Provider Enrollment Form?
A: The processing time for the EPSDT Provider Enrollment Form can vary, but it generally takes a few weeks.
Q: What should I do if I have questions about the EPSDT Provider Enrollment Form?
A: If you have questions about the EPSDT Provider Enrollment Form, you can contact the Alabama Medicaid Agency for assistance.
Form Details:
- Released on September 1, 2016;
- The latest edition currently provided by the Alabama Medicaid Agency;
- 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 Alabama Medicaid Agency.
