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Home > Back to Publisher > Report Information
Toward a Healthy Future: Medicaid Early and Periodic Screening, Diagnostic and Treatment Services For Poor Children and YouthNational Health Law ProgramApril 1, 2003 97 Pages
Introduction Part I: The Need for Medicaid and EPSDT A. Many children are poor and uninsured B. Medicaid is a primary source of insurance for children C. The importance of the Medicaid EPSDT service D. The effectiveness of EPSDT E. An EPSDT report card Part II: Medicaid Overview A. Medicaid background B. Eligibility 1. Fitting into a group 2. Limited income and resources 3. Residency 4. Citizenship/immigration Status C. Services D. Administration Part III: Legal Requirements for EPSDT A. EPSDT background B. Requirements for outreach and informing C. Requirements for screening services 1. Medical screens a. Comprehensive health and developmental history b. Unclothed physical exam c. Laboratory tests d. Nutritional assessment e. Immunizations f. Health education 2. Hearing screens 3. Vision screens 4. Dental screens D. Requirements for periodicity of screens E. Requirements for interperiodic screens F. Requirements for diagnostic and treatment services 1. Scope of benefits 2. Timely treatment 3. Coverage standards 4. Other treatment topics G. Provider participation H. Cost-sharing I. Reporting on child health Part IV: Common Problems/Suggested Solutions A. Lack of outreach and informing B. Lack of transportation C. Provider shortages D. Denials of services by managed care organizations Notes Appendix A: Legislative History to EPSDT Appendix B: Age-appropriate Screening Forms Appendix C: AAP Periodicity Recommendations v. States’ Periodicity Schedules, FY 1999 Appendix D: Scope of Medicaid Benefits More United States Medicare & Medicaid Reports More United States Reports |
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