A Medicaid-enrolled child requires a specialist evaluation that the family cannot find locally. Under EPSDT mandates, which action must the nurse take?

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Multiple choice — select the best answer

AFacilitate out-of-network referral
BAdvise calling the insurance carrier
CSuggest waiting for local availability
DRecommend emergency department care
EProvide a list of local providers

✓ Correct answer: A. Facilitate out-of-network referral EPSDT mandates that states provide necessary diagnostic and treatment services. Nurses must facilitate access, including out-of-network referrals or scheduling assistance, rather than advising passive searching.

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A Medicaid-enrolled child requires a specialist evaluation that the family cannot find locally. Under EPSDT mandates, which action must the nurse take?

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