On this page is a compilation of the obsolete pages as they correspond to the revision date. Click on a date to see the manual chapter page(s) prior to the revision.

Page replaced from 02/14/2025 revision – Section 39.0 - Overview

Page replaced from 02/14/2025 revision – Section 39.1 – Covered Services

Page replaced from 02/14/2025 revision – Section 39.4 - Reimbursement

Page replaced from 02/14/2025 revision – Appendix A – Message for EPSDT Eligibles and their Parents

Page replaced from 04/25/2024 revision – Title Page

Page replaced from 04/25/2024 revision – Section 39.2 – Beneficiary Requirements

Page replaced from 12/18/2023 revision – Section 39.3 – Provider Requirements

Page replaced from 04/27/2022 revision – Section 39.0 - Overview

Page replaced from 04/27/2022 revision – Section 39.1 – Covered Services

Page replaced from 04/27/2022 revision – Section 39.2 – Beneficiary Requirements

Page replaced from 04/27/2022 revision – Section 39.3 – Provider Requirements

Page replaced from 04/27/2022 revision – Section 39.4 - Reimbursement

Page replaced from 04/27/2022 revision – Appendix A – Message for EPSDT Eligibles and their Parents

Page replaced from 09/14/2021 revision – Table of Contents

Page replaced from 09/14/2021 revision – Section 39.1 – Covered Services

Page replaced from 09/14/2021 revision – Section 39.2 – Beneficiary Requirements

Page replaced from 09/14/2021 revision – Section 39.3 – Provider Requirements

Page replaced from 09/14/2021 revision – Appendix A – Message for EPSDT Eligibles and their Parents

Page replaced from 02/06/2020 revision – Section 39.0 - Overview

Page replaced from 02/06/2020 revision – Section 39.4 – Reimbursement

Page replaced from 02/06/2020 revision – Appendix A

Page replaced from 01/10/2020 revision – Title Page

Page replaced from 09/22/2015 revision – Title Page

Page replaced from 08/14/2015 revision – Section 39 – Appendix A

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