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MedicaidAdministrativeLow impact

99-19-02 2019 EPSDT Periodicity Schedule MAB

Pennsylvania Medicaid (DHS)·PA · Pediatrics, Family Medicine·Provider Bulletin
Effective date
Aug 19, 2019
We identified it
Jun 20, 2026
Days to comply

Summary

Pennsylvania reissued its 2019 EPSDT (Early and Periodic Screening, Diagnosis and Treatment) periodicity schedule and coding matrix for Medicaid pediatric screenings. No changes were made to the schedule or billing codes - this is a reconfirmation of existing requirements.

Action Required

Action needed
No immediate action required. This is a reconfirmation of existing EPSDT billing requirements for Pennsylvania Medicaid pediatric screenings. Providers should continue using the current periodicity schedule and coding matrix for EPSDT services. Verify billing staff are familiar with age-specific screening requirements and corresponding CPT codes.

Affected Billing Codes

99460
99463
99381
99382
99391
99392
99383
99384
99393
99394
99385
99395
96161
96110
99173
99174
99177
92551
92552
85013
85018
83655
80061