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Children's Health under Medicaid: A National Review of Early Periodic Screening, Diagnosis and Treatment - 1999-2003

Published by: National Health Law Program

Published: May. 1, 2005 - 165 Pages


Table of Contents


Background to this Chartbook

Overview to the Medicaid EPSDT Program

The Scope of EPSDT

EPSDT Reporting Requirements

Table A: American Academy of Pediatrics versus States' Periodicity Schedules (FY 2003)

The Accuracy of EPSDT Data

National Profile

State Profiles

State Charts (in alphabetical order)

Appendix A: Methodology

Appendix B: Form CMS 416

Appendix C: Form CMS 416 Instructions

Appendix D: An In Depth Look at the Revised EPSDT Reporting Form Endnotes

NATIONAL PROFILE

Figure 1: Number of Eligible Children

Figure 2: Eligibility by Age Group

Figure 3: Number of Children Screened

Figure 4: Medical Screens by Age Group

Figure 5: Referrals for Corrective Treatment

Figure 6: Referrals for Corrective Treatment by Age Group

Figure 7: Number of Dental Services

Figure 8: Dental Services by Age Group

Figure 9: Preventive Dental Services

Figure 10: Preventive Dental Services by Age Group

Figure 11: Dental Treatment Services

Figure 12: Dental Treatment Services by Age Group

Figure 13: Screening Blood Lead Tests

Figure 14: Screening Blood Lead Tests by Age Group

STATE PROFILES

Table 1: Number of Children Eligible for EPSDT in 2003

Table 2: Number of Children Referred for Corrective Treatment in 2003

Table 3: Number of Children Receiving Any Dental Services in 2003

Table 4: Percent of Children Receiving Any Dental Services in 2003

Table 5: Number of Children Receiving Screening Blood Lead Tests in 2003

STATE CHARTS (in alphabetical order)

Abstract

This chartbook presents national EPSDT trend data from FY 1999-2003. In addition, state-by-state charts show EPSDT performance from FY 1999-2003, reporting on such measures as medical, dental, and lead screening rates, as well as referrals for corrective treatment. This is the 3rd edition of the chartbook, which is one of NHeLP's most popular publications. The first edition was published in 1998 and revised in 2002.

Section I of the chartbook provides a brief overview to the EPSDT program, federal EPSDT requirements, and the value of preventive care.

Section II summarizes national findings and provides innovations and recommendations for improving EPSDT screening and reporting.

Sections III and IV contain state profiles and individual state charts for fiscal years 1999 through 2003.

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