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New Web Page for CHDP Providers

February 20, 2020

Child Health and Disability Prevention (CHDP) program providers can now find CHDP program policy, billing, reference and user guide content on the “EPSDT/CHDP” web page. Outdated information on the former “CHDP Provider Manual and Bulletin” web page on the Medi-Cal website was removed, and the current CHDP program information incorporated into the Medi-Cal provider manual.

Providers are encouraged to view the updated Medi-Cal web page and become familiar with the layout, links and revised sets of Frequently Asked Questions (FAQs).

The CHDP program facilitates the early and periodic screening components of the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit for children and youth enrolled in the Medi-Cal fee-for-service health care delivery system. The EPSDT benefit provides comprehensive health coverage for all children under age 21 who are enrolled in Medicaid. Created in 1967 and required by the federal government in every state with Medicaid, EPSDT finances a wide array of preventive and medically necessary pediatric services. EPSDT/CHDP information is integrated into the following Medi-Cal provider manual sections:

Reminder
Effective November 2019, the information formerly published in the separate CHDP provider manual is incorporated into the Medi-Cal Provider Manual in the three new sections listed above. The former CHDP manual contained old billing instructions, including the use of a two-character procedure code on the Confidential Screening/Billing Report (PM 160) claim form, a form no longer in use. Now, CHDP providers bill services directly to Medi-Cal in accordance with HIPAA national standards and instructions contained in the Medi-Cal provider manual.