EPSDT Archive

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… results in EPSDT.
  • March 15, 2017

    Medicaid Services for Children: What’s Covered?

    This fact sheet provides information on health services covered by Medicaid's Early and Periodic, Screening, Diagnostic and Treatment (EPSDT) legal requirement. The sheet includes links to other sources for additional information about EPSDT services.

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  • March 14, 2017

    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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  • January 11, 2017

    The Importance of National Coverage Standards in Medicaid

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    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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  • December 26, 2016

    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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  • October 24, 2016

    Health Advocates Urge CHIP Extension

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    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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  • June 30, 2016

    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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