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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 25, 2014
Medicaid Premiums and Cost Sharing
Read moreThis brief reviews the literature on the impact of premiums and cost sharing on enrollment, service utilization, and health status. It focuses particularly on how the research consensus fits with the flexibility Medicaid law gives states to establish premiums and cost sharing. It also highlights changes brought about by…
- March 3, 2014
Medicaid Managed Care: Financing
Read moreThis Fact Sheet addresses the following topics: choosing a health plan, consumer education, fraudulent and deceptive marketing practices, enrollment brokers, automatic assignment, and disenrollment.
- March 3, 2014
Medicaid Managed Care: Services
Read moreThis Fact Sheet addresses the following topics: choosing a health plan, consumer education, fraudulent and deceptive marketing practices, enrollment brokers, automatic assignment, and disenrollment.
- March 3, 2014
Medicaid Managed Care: Grievances and Appeals
Read moreThis Fact Sheet addresses the following topics: choosing a health plan, consumer education, fraudulent and deceptive marketing practices, enrollment brokers, automatic assignment, and disenrollment.