MedicaidAdministrativeMedium impact
MAB2022091902
Pennsylvania Medicaid (DHS)·PA · Pediatrics, Family Medicine, General Practice·Provider Bulletin
Effective date
Sep 19, 2022
We identified it
Jun 20, 2026
Summary
Pennsylvania updated its EPSDT (Early and Periodic Screening, Diagnosis and Treatment) periodicity schedule effective September 19, 2022, with new screening requirements including hepatitis B risk assessment and cardiac risk screening for ages 11-21. The terminology for behavioral screening changed and several footnotes were updated to clarify billing and referral requirements.
Action Required
Immediately: Billing teams serving Pennsylvania Medicaid EPSDT patients must update encounter forms and billing systems to reflect the new periodicity schedule. Update terminology from 'Psychosocial/Behavioral Assessment' to 'Behavioral/Social/Emotional Screening' in documentation. Add hepatitis B risk assessment (once between newborn-21 years) and cardiac risk assessment (once between ages 11-21) to appropriate age visit templates. Review updated footnotes for dental referral requirements and depression screening guidelines.