EPSDT Archive

results in EPSDT.
  • EPSDT is Essential

    National Health Law Program Legal Director Jane Perkins in this Issue Brief provides information about Medicaid's pediatric standards of coverage of youth under 21 called Early and Periodic Screening, Diagnostic and Treatment (EPSDT). Perkins notes that "EPSDT is specifically targeted to meet the needs of low-income children. Low-income children are…

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  • What Makes Medicaid, Medicaid? Services

    Medicaid offers myriad optional services and benefits that states can cover, as well as a minimum baseline of services that must be covered. In this issue brief NHeLP's Wayne Turner, Catherine McKee, Amy Chen and Abigail Coursolle detail the optional and mandatory services and how they are tailored to…

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  • The Importance of National Coverage Standards in Medicaid

    Currently federal Medicaid law ensures that beneficiaries can access health services that reflect standards of care, write Legal Director Jane Perkins and Staff Attorney Catherine McKee in this fact sheet. States must provide "core services when medically necessary," but proposals to cut or cap Medicaid funding "threaten federal coverage…

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  • Protect Medicaid Funding: Substance and Opioid Use Disorders

    and Hector Hernandez-Delgado

    The tenth issue in NHeLP's Protect Medicaid Funding series examines the vital role Medicaid plays in "preventing and treating substance use disorders (SUD)," among the nation's most vulnerable people. The fact sheet also explores how austerity measures embraced by conservative lawmakers and advocates would harm the health of low-income…

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  • Health Advocates Urge CHIP Extension

    External Source and

    NHeLP joins other national health care and children's advocacy groups urging Congress to extend the Children's Health Insurance Program (CHIP). CHIP was first enacted in 1997 to provide funding to states to reduce the numbers of  uninsured  children, focusing on low income children in working families who don't have…

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  • Q&A: Recoupment Following an Adverse Medicaid Appeal

    Legal Director Jane Perkins provides guidance on a question regarding Medicaid managed care plans' abilities to recoup costs of health services following an adverse Medicaid appeal. Medicaid applicants and recipients have rights to notices and administrative hearings when their claims for medical assistance are denied or not acted on…

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Medicaid's 56th Anniversary
Medicaid 56th anniversary imageNHeLP has defended Medicaid for over 50 years. This week, we are celebrating the 56th anniversary of Medicaid and recommitting to our efforts to protect and advance health rights for all. Join us in celebration with a donation today! Happy Birthday Medicaid!