Well-Child Care Toolkit

Toolkit: EPSDT Resources

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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

Medicaid Early and Periodic Screening, Diagnosis and Treatment Fact Sheet (October 2008)
The National Health Law Program (NHelp) published a fact sheet on EPSDT. The fact sheet provides background on EPSTD and presents information on how the program addresses screening and treatment services. In addition, it discusses how the Deficit Reduction Act of 2005 affects EPSDT, how states should outreach to children and families, and how to measure EPSDT performance and accountability.

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)

Data: 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 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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