Category: Medicaid

 

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