Bright Futures at Georgetown University DC Department of Health MAA

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   I. Overview

       • EPSDT Program
       • HealthCheck Program
    Goals & Requirements
    Participants & Providers
    Services
    Coordination & Outreach
       • Review



   II. Health Supervision

       • Introduction
    Screens & Timing
    Requirements
    Review
       • Health History
    Introduction
    Initial
    Interval
    Specific Visits
    Review
       • Physical Examination
    Introduction
    Comprehensive Exam
    Growth Assessment
    Specific Visits
    Review
       • Screening Services
    Introduction
    Nutritional
    Vision
    Speech & Language
    Hearing
    Developmental
    Review
       • Laboratory Tests
    Introduction
    Metabolic
    Sickle Cell
    Lead
    Anemia
    Urinalysis
    Cholesterol
    Tuberculosis
    STDs & Pregnancy
    Review
       • Immunizations
    Introduction
    Immunization Schedule
    Vaccines Program
    Documentation
    Precautions & Exceptions
    Review
       • Health Education/
         Anticipatory Guidance

    Introduction
    Working with Families
    Working with Teens
    Pregnancy Prevention
    HIV Prevention
    Specific Visits
    Review




   III. Special Health Issues

       • Introduction
       • Dental Health
       • HIV Guidelines
       • Child Abuse & Neglect
       • Reducing Language          Barriers
       • Using Interpreters
       • Review



   IV. Documentation

       • Guidelines
       • SMRFs
       • HealthCheck Reporting
       • Billing Procedures
       • Review


At-a-Glance Resources


HealthCheck SMRFs HealthCheck Periodicity HealthCheck Manual HIPAA Codes

 

EPSDT Resources 

   

 
 

Requirements

:: EPSDT Requirements: A Summary as summarized by CMS

::

Services

Knowledge Path on EPSDT Services. Contains selections of recent, high quality resources and tools for staying abreast of new developments. Components of a knowledge path include links to Web sites, electronic publications, databases, and citations for journal articles and other print resources. This resource has been researched and compiled by the MCH Library.

National Health Law Program (NHeLP). Use the Search feature on the NHeLP Web site for the following publications:

  • Children’s health under Medicaid: A national review of Early and Periodic Screening, Diagnosis and Treatment, rev ed.
  • Medicaid Early and Periodic Screening, Diagnosis, and Treatment as a source of funding early intervention services.
  • Toward a healthy future: Early and Periodic Screening, Diagnostic and Treatment services for poor children and youth, rev. ed.

::

Policy

EPSDT and Title V Collaboration to Improve Child Health: Web-based Technical Assistance Tool: Specifically tailored for State Title V programs on the State and local levels, this tool provides important information about the EPSDT Medicaid benefit and about opportunities for collaboration between Title V and Medicaid to improve screening and treatment rates. The web-based TA tool also provides information on how the EPSDT benefit is administered, the reporting process, family support strategies, and specific policy and legislative issues.

Maximizing the Use of EPSDT to Improve the Health and Development of Young Children: This second Project THRIVE describes EPSDT with a focus on young children ages birth to 5 and offers tips for using the program in state Early Childhood Comprehensive Systems to improve early childhood health and development, state performance rates on child health, and collaborative efforts with other federal and state programs and services. While in theory EPSDT guarantees children coverage for a full range of services, in practice, screening and referral rates fall short of the 80 percent screening benchmark set in 1989. State ECCS initiatives can use interagency coollaboration to improve EPSDT performance and child health access.

::

Data

:: Centers for Medicare & Medicaid Services (CMS)

State Agency Responsibilities: Includes the Form CMS-416 Annual EPSDT Report and Instructions as well as National Data from CMS-416 (See links half-way down page)

Title V Information System (TVIS)

Contains data from annual Title V Block Grant applications and reports. To identify EPSDT-related services provided by states, conduct several searches.

  • Search Program Data: State Priority Needs Keyword Search. Select keywords such as Health Screening, Immunization, and Oral Health from the list (each term must be searched separately)
  • Search Program Data: Screening and Treatment Information for Infants, Women, and Children and Program Data: Standard Screening Tests Performed by States.
  • Search State "Negotiated" Performance and Outcome Measures: Search By Keyword/Population/Race and select keywords such as those used above (e.g., Health Screening).
::

Medicaid Materials

State-by-state Medicaid fact sheets by the American Academy of Pediatrics and the National Association of Children's Hospitals

Commonwealth Fund

Contracting for Coordination of Behavioral Health Services in Privatized Child Welfare and Medicaid Managed Care from Center for Health Care Strategies (CHCS)

The Medicaid Resource Book by the Kaiser Commission on Medicaid and the Uninsured

Medicaid: Stronger efforts needed to ensure children's access to health screening service by the Government Accountability Office (GAO)

 

 

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