EPSDT Well-child forms

The Tennessee Chapter of the American Academy of Pediatrics (TNAAP) has developed EPSDT documentation forms for use in physician offices. These forms were developed with input from the TennCare managed care organizations (MCOs), the Tennessee Department of Health, and the TennCare Quality Oversight division.

Use of these forms should prompt the appropriate components of the screen for each age group and, if each section is complete, will appropriately document the chart from a state audit perspective. In addition, improved documentation of EPSDT screens should increase reimbursement to providers and improve Tennessee's EPSDT compliance rates.

Please click here to be taken to the Well-Child Forms: