MedicaidDocumentationMedium impact
Periodicity Schedule for Health Children and Youth (HCY) Early Periodic Screening and Diagnosis & Treatment (EPSDT) Services
Missouri Medicaid (MO HealthNet)·MO · Pediatrics, Family Medicine, General Practice·Provider Notice
Effective date
Dec 1, 2015
We identified it
Jun 20, 2026
Summary
This policy clarifies that MO HealthNet (Missouri Medicaid) providers can perform health screenings for children and youth under 21 more frequently than the minimum periodicity schedule when medically necessary. Providers must document medical necessity in the patient's record for additional screening services beyond the standard intervals.
Action Required
Immediately: Providers treating MO HealthNet patients under age 21 must ensure proper documentation of medical necessity in patient records when performing health screenings more frequently than the standard periodicity schedule. Billing team should verify that encounter forms include prompts for medical necessity documentation for additional EPSDT screenings. Reference Section 9.6 of MO HealthNet Provider Manuals for applicable procedure codes.