C.F.R. » Title 42 » CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES › SUBCHAPTER C—MEDICAL ASSISTANCE PROGRAMS › PART 441—SERVICES: REQUIREMENTS AND LIMITS APPLICABLE TO SPECIFIC SERVICES › Subpart B—Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) of Individuals Under Age 21

42 C.F.R. § 441.58

Periodicity schedule

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The agency must implement a periodicity schedule for screening services that—

(a) Meets reasonable standards of medical and dental practice determined by the agency after consultation with recognized medical and dental organizations involved in child health care;

(b) Specifies screening services applicable at each stage of the beneficiary's life, beginning with a neonatal examination, up to the age at which an individual is no longer eligible for EPSDT services; and

(c) At the agency's option, provides for needed screening services as determined by the agency, in addition to the otherwise applicable screening services specified under paragraph (b) of this section.

Notes of Decisions
Cited in 2 cases, 2001–2019 · leading case: John B. Ex Rel. L.A. v. Menke, 176 F. Supp. 2d 786 (M.D. Tenn. 2001).
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John B. Ex Rel. L.A. v. Menke, 176 F. Supp. 2d 786 (M.D. Tenn. 2001). “42 C.F.R. § 441.58 (2001). It is clear for the record that not only-have Defendants failed to comply with the Department of Health and Human Services’ regulations, but Defendants have simply failed to meet the bare requirements of the EPSDT laws.”
Tinsley v. Flanagan (D. Ariz. 2019). “” 42 C.F.R. § 441.58 . Arizona publishes its periodicity schedule for EPSDT services 4 in the AHCCCS Medical Policy Manual (“AMPM”).”
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