EPSDT Archive

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February 25, 2016
Health Advocate: Medicaid’s EPSDT in Schools versus the Free Care Rule
Sarah Somers Health Advocate
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May 14, 2015
Survey of Medicaid Managed Care Contracts: EPSDT Vision and Hearing Services
Jane Perkins, Sarah Somers, and External Source Issue Brief
An estimated 25 percent of all school children in the United States have some type of vision problem significant enough to affect daily life and school performance. Similarly, despite the proliferation of hospital-based newborn hearing screening programs, a significant number of children with possible hearing loss are not receiving…
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May 12, 2015
Issue Brief: Vision Services for Children on Medicaid A Review of EPSDT Services
Jane Perkins and Catherine McKee Issue Brief
A significant number of children in the United States are living with undiagnosed vision problems, and low-income children and children of color are disproportionately affected. Most low-income children qualify for health insurance through their state's Medicaid program. Medicaid offers enrolled children a comprehensive benefit, called Early and Periodic Screening,…
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March 6, 2015
Behavioral Health: Medicaid, Managed Care and Children More Questions to Ask
dfitzgerald Issue Brief
NHeLP has prepared a list of questions consumers should ask as their states begin working on developing or redesigning their Medicaid managed care programs (Medicaid Managed Care: 20 Questions to Ask Your State, National Health Law Program). This document lists additional questions to ask when behavioral health populations are being either included…
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January 29, 2015
Q&A: CMS Guidance on EPSDT Services for Children with ASD in Medicaid
dfitzgerald Issue Brief
Under longstanding Medicaid law, the state Medicaid agency must cover particular treatments "including intensive behavioral services" if they are coverable Medicaid services, necessary to correct or ameliorate a child's ASD, and no alternative, equally effective treatment is appropriate for the child. A recent CMS guidance letter and FAQ discuss…
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December 19, 2014
Lessons from CA: Ensuring Medi-Cal Plans Provide Services to Children
dfitzgerald Issue Brief
In this month's Lessons from California, we highlight how NHeLP worked to ensure that California's Medi-Cal managed care plans provide medically necessary services to children, even when those children might be able to receive some of these services from another entity. As a result of NHeLP's advocacy, California released…
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