[Code of Federal Regulations]

[Title 42, Volume 4]

[Revised as of October 1, 2006]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR441.61]



[Page 275]

 

                         TITLE 42--PUBLIC HEALTH

 

  CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF 

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 441_SERVICES: REQUIREMENTS AND LIMITS APPLICABLE TO SPECIFIC 

 

Subpart B_Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) 

                       of Individuals Under Age 21

 

Sec.  441.61  Utilization of providers and coordination with related 



programs.



    (a) The agency must provide referral assistance for treatment not 

covered by the plan, but found to be needed as a result of conditions 

disclosed during screening and diagnosis. This referral assistance must 

include giving the family or recipient the names, addresses, and 

telephone numbers of providers who have expressed a willingness to 

furnish uncovered services at little or no expense to the family.

    (b) The agency must make available a variety of individual and group 

providers qualified and willing to provide EPSDT services.

    (c) The agency must make appropriate use of State health agencies, 

State vocational rehabilitation agencies, and Title V grantees (Maternal 

and Child Health/Crippled Children's Services). Further, the agency 

should make use of other public health, mental health, and education 

programs and related programs, such as Head Start, Title XX (Social 

Services) programs, and the Special Supplemental Food Program for Women, 

Infants and Children (WIC), to ensure an effective child health program.