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- October 27, 2014
CMS’s guidance on EPSDT Services for Children with ASD
Read moreIn July, 2014, the Centers for Medicare and Medicaid Services (CMS) issued guidance clarifying that evidence-based treatments for children with autism spectrum disorders (ASD), including behavioral and communication approaches to treatment, are eligible for federal financial participation under three State Plan authorities. CMS explained that states are obligated to cover…
- October 16, 2014
Issue Brief: Update on Private Enforcement of the Medicaid Act
Read moreOver the years, Medicaid beneficiaries have asserted claims under the Supremacy Clause of the U.S. Constitution and 42 U.S.C. § 1983 in litigation to enjoin state violations of the Medicaid Act. This Fact Sheet will summarize the history of § 1983 and Supremacy Clause enforcement, provide current point-in-time assessments…
- October 14, 2014
Health Advocate: EPSDT Screening: Including Sexuality Education in Health Education
Read moreUnder Medicaid and some Children's Health Insurance Programs (CHIP), youth are eligible to receive the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit, which includes coverage for medical screening. Federal law requires each screen to include five required components. One component is age-appropriate health education, which should include…
- July 2, 2014
Sexuality Education in Health Care Delivery for Medicaid and CHIP-Eligible Youth
Read moreThis issue brief discusses the health education component of the EPSDT medical screens required for Medicaid and some CHIP-eligible youth, focusing on sexuality education. As discussed within the brief, the medical screening that youth receive has not sufficiently included sexuality education. This issue brief includes recommendations to ensure that…
