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- 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.…
- March 31, 2014
Lessons from CA: Pediatric Dental Coverage in the Exchange
Read moreThe Affordable Care Act requires that all plans in the Marketplace and non-grandfathered plans in the individual and small group markets cover pediatric dental services as an essential health benefit. In this Lessons from California, we explore the options that states have to implement these new requirements, and strategies…
- March 20, 2014
CA Advocates’ Letter & Policy Paper: Pediatric Dental Benefits in the Exchange
Kim Lewis and Michelle Lilienfeld LetterRead moreCA advocates' letter and policy paper urging the CA Exchange Board to adopt a pediatric dental benefit policy that assures all enrollees are able to purchase Qualified Health Plans that include pediatric dental benefits.
- March 20, 2014
CA Advocates’ Support Exchange Staff Pediatric Dental Recommendation
Kim Lewis and Michelle Lilienfeld LetterRead moreCA advocates' letter urging the CA Exchange Board to adopt Exchange staff's recommendation to offer pediatric dental benefits through embedded plans to assure that all enrollees are able to purchase Qualified Health Plans that include all ten essential health benefits, including pediatric dental benefits.
- March 18, 2014
Health Advocate: Medicaid Expansion and Premium Assistance
Read moreThis issue of the Health Advocate covers how states are implementing the Medicaid expansion authorized by the ACA using premium assistance.