<html> <head> <meta name=Generator content="Microsoft Office HTML Filter 2.0"> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <style> <!-- --> </style> </head> <body lang=EN-US link=blue vlink="#954F72"> <div> <p align=center><b>CHAPTER 67:16:11</b></p> <p align=center><b>EARLY AND PERIODIC SCREENING</b></p> <p>Section</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:01">67:16:11:01</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Definitions.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:01.01">67:16:11:01.01</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:02">67:16:11:02</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Eligibility requirements.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:03">67:16:11:03</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Covered services -- Limits.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:03.01">67:16:11:03.01</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:03.02">67:16:11:03.02</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:03.03">67:16:11:03.03</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:03.04">67:16:11:03.04</a>&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:03.05">67:16:11:03.05</a>&nbsp;&nbsp; Nutritional therapy and nutritional supplements.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:03.06">67:16:11:03.06</a>&nbsp;&nbsp; Orthodontic treatment.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:03.07">67:16:11:03.07</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:03.08">67:16:11:03.08</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:03.09">67:16:11:03.09</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:03.10">67:16:11:03.10</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:03.11">67:16:11:03.11</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:03.12">67:16:11:03.12</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:03.13">67:16:11:03.13</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:03.14">67:16:11:03.14</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:03.15">67:16:11:03.15</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:03.16">67:16:11:03.16</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:03.17">67:16:11:03.17</a>&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:03.18">67:16:11:03.18</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:03.19">67:16:11:03.19</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:03.20">67:16:11:03.20</a>&nbsp;&nbsp; Private duty nursing services.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:03.21">67:16:11:03.21</a>&nbsp;&nbsp; Extended home health aide services.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:03.22">67:16:11:03.22</a>&nbsp;&nbsp; Private duty nursing services -- Extended home health aide services -- Prior authorization -- Reauthorization.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:03.23">67:16:11:03.23</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:04">67:16:11:04</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Screening services under EPSDT.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:04.01">67:16:11:04.01</a>&nbsp;&nbsp; Periodicity schedules for complete, comprehensive screenings.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:05">67:16:11:05</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Rate of payment -- Screening services.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:05.01">67:16:11:05.01</a>&nbsp;&nbsp; Rate of payment -- Immunizations.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:06">67:16:11:06</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:06.01">67:16:11:06.01</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:06.02">67:16:11:06.02</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:06.03">67:16:11:06.03</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:06.04">67:16:11:06.04</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:06.05">67:16:11:06.05</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:06.06">67:16:11:06.06</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:06.07">67:16:11:06.07</a>&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:06.08">67:16:11:06.08</a>&nbsp;&nbsp; Rate of payment -- Nutritional therapy, nutritional supplements, and electrolyte replacements.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:06.09">67:16:11:06.09</a>&nbsp;&nbsp; Rate of payment -- Orthodontic treatment.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:06.10">67:16:11:06.10</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:06.11">67:16:11:06.11</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:06.12">67:16:11:06.12</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:06.13">67:16:11:06.13</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:06.14">67:16:11:06.14</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:06.15">67:16:11:06.15</a>&nbsp;&nbsp; Rate of payment -- Private duty nursing services.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:06.16">67:16:11:06.16</a>&nbsp;&nbsp; Rate of payment -- Extended home health aide services.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:07">67:16:11:07</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:08">67:16:11:08</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:08.01">67:16:11:08.01</a>&nbsp;&nbsp; Cost not to exceed long-term institutional care.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:08.02">67:16:11:08.02</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:09">67:16:11:09</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:10">67:16:11:10</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:11">67:16:11:11</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Utilization review.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:12">67:16:11:12</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:13">67:16:11:13</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Billing requirements.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:13.01">67:16:11:13.01</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:13.02">67:16:11:13.02</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:14">67:16:11:14</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Claim requirements.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:15">67:16:11:15</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:16">67:16:11:16</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:17">67:16:11:17</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Claim requirements -- Orthodontia services.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:18">67:16:11:18</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:19">67:16:11:19</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:19.01">67:16:11:19.01</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:19.02">67:16:11:19.02</a>&nbsp;&nbsp; Claim requirements -- Private duty nursing -- Extended home health aide services.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:19.03">67:16:11:19.03</a>&nbsp;&nbsp; Claim requirements -- Screenings.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:19.04">67:16:11:19.04</a>&nbsp;&nbsp; Claim requirements -- Immunizations.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:20">67:16:11:20</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Application of other chapters.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:0A">Appendix A</a>&nbsp; List of Dental Procedure Codes and Limits, repealed, 35 SDR 88, effective October 23, 2008.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:0B">Appendix B</a>&nbsp; List of Medical Procedures and Limits of Dental/Medical Services, repealed, 35 SDR 88, effective October 23, 2008.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:0C">Appendix C</a>&nbsp; List of Procedure Codes and Prices for Orthodontic Services, repealed, 35 SDR 88, effective October 23, 2008.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:0D">Appendix D</a>&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:0E">Appendix E</a>&nbsp; Certificate of Medical Necessity for Durable Medical Equipment, repealed, effective December 4, 2017.</p> <p><a href="DisplayRule.aspx?Rule=67:16:11:0F">Appendix F</a>&nbsp;&nbsp; Orthodontic Assessment Record, repealed, 35 SDR 88, effective October 23, 2008.</p> </div> </body> </html>