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- May 5, 2014
Manual: Toward a Healthy Future: Medicaid EPSDT Services for Poor Children
Read moreTimely screening examinations and necessary medical treatment are needed to maintain and improve children's health. Lower-income children are at particular risk for health problems. Thus, the Medicaid Act entitles them to comprehensive screening and treatment through a service called Early and Periodic Screening, Diagnostic and Treatment (EPSDT). More than…
- April 21, 2014
EPSDT Transmittals
Read moreEPSDT transmittals, docket, and other archival documents. Please click on external link to access the documents.
- April 21, 2014
Important Consumer Considerations in Design of Pediatric Dental Benefits
Read morePediatric dental benefits are essential health benefits (EHBs) under federal and state law. Both inside and outside of the Exchange, non-grandfathered health plans in the individual and small group markets have to provide all ten EHBs, including pediatric dental health benefits.
- April 21, 2014
Health Reform and Insurance Coverage for Pregnant Women
Read moreJoint NHeLP webinar with March of Dines, ACOG, AMCHP, NWLC and the National Partnership
- April 3, 2014
Q&A: EPSDT Coverage of Nutrition Services
Read moreQ&A Fact Sheet on EPSDT coverage of nutrition selection. EPSDT is a mandatory Medicaid service for children and youth under age 21. Congress clarified and strengthened the EPSDT provisions in 1989, adding, among other things, an explicit "correct or ameliorate" treatment requirement.
- April 3, 2014
Fact Sheet: Medicaid EPSDT Case Trends and Docket
Read moreThe Early and Periodic Screening, Diagnostic and Treatment (EPSDT) provisions are among the most specific in the Medicaid Act. See 42 U.S.C. §§ 1396a(a)(10)(A), 1396a(a)(43), 1396d(a)(4)(B), 1396d(r). EPSDT is critical for children with disabilities. Over the years, however, states have not adhered to their responsibilities, and litigation has resulted.…