This Fact Sheet is a companion piece to the National Health Law Program’s publication, Children’s Health Under Medicaid. A National Review of Early and Periodic Screening, Diagnostic, and Treatment Services 2015-2019, highlighting trends in EPSDT program performance. The analysis compares states’ reported data in 2019 to what the states reported in 2015 to gauge if the numbers of eligible children served have increased or decreased. The fact sheet then examines trends in whether states are giving those children their required screenings and referring them for treatment services. The analysis in this Fact Sheet is intended to help state advocates identify areas in which their state’s EPSDT performance needs improvement and what aspects of their state’s EPSDT reporting needs further scrutiny.