New Justice-Involved Youth (JIY) Travel Payment for EPSDT Provider’s Travel to Carceral Facilities

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TO: All Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Providers, Federally Qualified Health Centers (FQHCs), and Rural Health Clinics (RHCs)

RE: New Justice-Involved Youth (JIY) Travel Payment for EPSDT Provider's Travel to Carceral Facilities

Effective July 1, 2026, the Alabama Medicaid Agency (Medicaid) reimburses a $50.00travel payment to EPSDT providers for travel from their office to a carceral facility to deliver EPSDT screenings to eligible justice-involved youth (JIY). This payment is in addition to the existing $88.00 JIY EPSDT screening rate.

Payment Details

• CPT Code: 99429
• Physician Rate: $50.00 per date of service
• Limit: Two (2) payments per calendar year per eligible beneficiary
• CRNP/PA Rate: 80% of the physician rate ($40.00)

Billing Requirements

1. Place of service (POS) code: 09 (Prison/Correctional Facility) is required on the claim for both the EPSDT screening code and CPT 99429.
2. Provider Specialty Requirement: Providers must be enrolled with Specialty 560 to bill EPSDT screenings and CPT 99429.
3. Providers may submit the EPSDT screening and CPT 99429 travel payment on the same claim.

1. Body Mass Index (BMI) Requirement: The BMI requirement applies to EPSDT screenings in carceral facilities with POS code 09.
2. FQHC/RHC Billing Instructions: FQHCs and RHCs should bill CPT 99429 outside of the PPS rate.

A presentation with more information is available at www.medicaid.alabama.gov . Select the Programs tab, and then select EPSDT. The presentation is in the Presentations section.

For billing questions, please contact the Provider Assistance Center at 800-688-7989.

For program-specific policy questions regarding EPSDT requirements, please email [email protected] .

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