PDF
Word
EPSDT-PCS Form 90 Request for Medicaid Epsdt - Personal Care Services - Louisiana
Fill PDF Online
Fill out online for free
without registration or credit card
What Is EPSDT-PCS Form 90?
This is a legal form that was released by the Louisiana Department of Health - a government authority operating within Louisiana. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is EPSDT?A: EPSDT stands for Early and Periodic Screening, Diagnostic, and Treatment.
Q: What is PCS?A: PCS stands for Personal Care Services.
Q: What is Form 90?A: Form 90 is the request form for Medicaid EPSDT-PCS services in Louisiana.
Form Details:
- Released on May 1, 2019;
- The latest edition provided by the Louisiana Department of Health;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of EPSDT-PCS Form 90 by clicking the link below or browse more documents and templates provided by the Louisiana Department of Health.
Download EPSDT-PCS Form 90 Request for Medicaid Epsdt - Personal Care Services - Louisiana
1
2
3
