Kentucky
Provider Communications
Reimbursement Policy Update: Early and Periodic Screening, Diagnosis and Treatment (EPSDT)
Currently, Anthem Blue Cross and Blue Shield Medicaid includes Early and Periodic Screening, Diagnosis and Treatment (EPSDT) component services in the reimbursement of preventive medicine evaluation and management (E&M) visits unless they are appended with Modifier 25 to indicate a significant, separately identifiable E&M service by the same physician on the same date of service.
However, effective January 1, 2019, the following EPSDT component services will be separately reimbursable from preventive medicine E&M visits:
- Hearing screening with or without the use of an audiometer or other electronic device
- Vision screening
For additional information, please review the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) reimbursement policy at https://mediproviders.anthem.com/ky/pages/reimbursementpolicies.aspx.
Featured In:
November 2019 Anthem Provider News - Kentucky