EPSDT-PCS Form 90 Request for Medicaid Epsdt - Personal Care Services - Louisiana

EPSDT-PCS Form 90 Request for Medicaid Epsdt - Personal Care Services - Louisiana

What Is EPSDT-PCS Form 90?

This is a legal form that was released by the Louisiana Department of Health - a government authority operating within Louisiana. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is EPSDT?
A: EPSDT stands for Early and Periodic Screening, Diagnostic, and Treatment.

Q: What is PCS?
A: PCS stands for Personal Care Services.

Q: What is Form 90?
A: Form 90 is the request form for Medicaid EPSDT-PCS services in Louisiana.

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Form Details:

  • Released on May 1, 2019;
  • The latest edition provided by the Louisiana Department of Health;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of EPSDT-PCS Form 90 by clicking the link below or browse more documents and templates provided by the Louisiana Department of Health.

Download EPSDT-PCS Form 90 Request for Medicaid Epsdt - Personal Care Services - Louisiana

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