In response to the Coronavirus Disease 2019 (COVID-19) pandemic, for dates of service on or after March 16, 2020, Medicaid will temporarily lift the EPSDT referral requirement effective for one month, expiring on dates of services April 16, 2020. It will be reevaluated for a continuance as needed.

How does this impact how claims are to be billed?

There are no changes in the way claims are to be submitted. Providers will continue to see error status codes on the remittance advices but will see the claims paid during this time period.

What types of providers does this impact?

Any Medicaid provider whose services require an EPSDT referral will be affected. Please refer to the Provider Billing Manual Chapters for the provider type and services performed.

Contacts:

EPSDT Referrals: elizabeth.huckabee@medicaid.alabama.gov; beverly.churchwell@medicaid.alabama.gov