Early and Periodic Screening, Diagnostic, and Treatment (EPSDT)

Despite evidence that maternal depression is quite common and can negatively impact young children’s development, it is often undiagnosed and untreated. Since the rate of maternal depression is disproportionately higher in low-income women, Medicaid can play a leading role in identifying at-risk mothers and connecting them to treatment. With support from the David and Lucile […]

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  • State Medicaid agencies and CHIP programs play a significant role in their state’s lead screening procedures and provision of treatment services for children. This fact sheet was created following a recent webinar with state officials to share key information. It provides data on lead toxicity in children, the potential health impacts, the federal CMS requirements for screening […]

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  • Publications

    State Medicaid agencies are working to provide comprehensive health care services for children with autism spectrum disorder (ASD), currently the fastest growing developmental disability in the United States for individuals under age 21. This brief highlights information from the 2014 CMS Informational Bulletin providing clarification on services to be provided to Medicaid-eligible children with ASD […]

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  • Publications

    The early years of a child’s life are critical for growth and development. Identifying developmental delays early and providing appropriate referral and treatment can help prevent more severe issues as well as considerable costs. State Medicaid agencies can play an important role in promoting early identification of developmental delays by reimbursing and tracking the use […]

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  • State Strategies for Promoting Children’s Preventive Services
    Maps

    *Map and chart updated as of September 28, 2016* States have the option of implementing performance measurement, incentives or improvement projects, often as part of broad health system transformation efforts, to promote children and adolescents’ access to preventive services. This series of maps and accompanying chart illustrate state-specific Medicaid or CHIP performance improvement projects, measures, […]

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  • This map highlights the extent of overlap in 2015 between issuers offering managed care plans in a state’s separate Children’s Health Insurance Program (CHIP) and those offering plans in health insurance marketplaces. This map updates a 2014 map showing data from the first year marketplace coverage was available. Plans offered by the same issuer in […]

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    March 10, 2015 | Filed under: Benefit Continuity, Benefits Analysis, Brokers, Care Coordination Efforts, Care Coordination Financing, Change Management, Chronically Ill, Churning, Community Benefit, Community Health, Community Health Workers, Complaints, Consumer Assistance/Navigators, Consumer Input, Consumer Operated and Oriented Plan (CO-OP), Continuity of Care, Cultural Competency, Data Sharing Agreements, Delivery System Benchmarks, Disproportionate Share Hospital (DSH), Early and Periodic Screening, Diagnostic, and Treatment (EPSDT), Elderly, Electronic Eligibility Verification, Electronic Health Records, Eligibility Categories, Eligibility Decision Consistency, Eligibility Documentation, Eligibility Simplification, Eligibility System Specifications, Engaging Underserved, Essential Health Benefits, Exchange, Exchange Establishment Grants, Exchange Federal-State Partnership, Exchange Financing, Exchange Functionality Testing, Exchange Governance, Exchange IT, Exchange Legal Authority, Exchange Outreach and Education, Exchange Plan Benefit Design, Exchange Plan Rating Systems, Exchange Plan Selection, Exchange Policy Decisions, Exchange Program Integration, Exchange Program Integrity, Exchange Provider Network Standards, Exchange Public Website, Exchange Regulations/Guidance, Exchange Stakeholder Input, Exchange Workplans/Timelines, Federal Data Reporting Requirements, Federal Exchange, Federal Grants, Federal Oversight, Financing and Program Integrity, Fiscal Analysis, Grants and Contracts, Health Literacy, Health Reform Coordination Lead, HIE Data Collection/Reporting, Home and Community-Based Care, Immigrants, Implementation Plan, Implementation Websites, Individual Market, Inmates, Insurance Legislation, Insurance Outreach and Education, Insurance Statutory/Regulatory Analysis, Internal/External Review, IT Assessments, Language/Disability Application Access, Legislative Review, Licensing and Certification, Linking Population and Individual Health, Long Term Services and Supports, Market Conduct, Meaningful Use, Medicaid, Medicaid Benchmark Coverage, Medicaid Benefits, Medicaid Management Information Systems (MMIS), Medicaid Preventive Services, Medicaid Reimbursement, Medical Loss Ratio, Men, Mental Health and Substance Abuse, Modified Adjusted Gross Income (MAGI), Multi-Sector Payment Reform, Non-Payment, Nurses, Online Applications, Open Enrollment, Outreach Planning/Materials, Parents, Patient Navigators, People with Disabilities, People with HIV/AIDS, Performance Outcomes Measurement, Population Health Data, Population Health Goals, Populations, Pre-Existing Conditions, Presentations and Announcements, Prevention, Primary Care Case Management, Programs, Provider Education, Providers and Medical Services, Public Comment, Public Reporting, Quality and Efficiency Priorities, Quality Measures, Quality Progress Reporting, Quality Strategies, Rate Review, Reinsurance, Renewal Simplification, Report, Reporting Requirements, Risk Adjustment, Safety Net Financing, Scope of Practice, Shared Services Enrollment Systems, Small Business Health Insurance Options Program (SHOP) Enrollment, Small Employers, Small Group Size, Social Determinants of Health, Specialists, Staffing/Resources, Stakeholder Communication, Stakeholder Engagement, State Health Reform Laws, State Health Reform Regulations, State Innovation Models, Statewide Data Reporting Requirements, Tax Credit Eligibility, Workforce Capacity, Working Materials