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Developmental screenings by primary care providers (pediatricians, general or family physicians, advanced registered nurse practitioners (ARNPs) or physician assistants (PAs)) for autism as part of EPSDT visits for children though three years of age. The agency requires that providers follow the schedule and use validated screening tool or instrument(s) based on the American Academy of Pediatrics Bright Futures recommendations. This change is being made to comply with the state budget approved by the legislature in ESSB [3ESSB] 5034.

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Annual preventive medicine evaluation services by primary care providers (physicians, ARNPs or PAs) for clients twenty-one years of age and older. These codes include the provision of counseling/anticipatory guidance/risk factor reduction interventions at the time of the initial or periodic comprehensive preventive medicine examination. In addition, providers must screen for tobacco and other substance use, as well as domestic violence. This change is being made to support comparability in the classic medicaid covered services with the coming essential benefit health care provisions of the Affordable Care Act.

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Screening, Brief Intervention, and Referral to Treatment (SBIRT). The service will be provided by state-trained providers. SBIRT is a comprehensive, evidence-based public health practice designed to identify people who are at risk for or have some level of substance use disorder which can lead to illness, injury, or other long-term morbidity or mortality. SBIRT services are provided in a wide variety of medical and community healthcare settings. This change is being made to comply with the state budget approved by the legislature in ESSB 5034 and support comparability in the classic medicaid covered services with the coming essential benefit health care provisions of the Affordable Care Act.