1) CHDP paid claims records for EPSDT
screening visits and immunizations were included in the Tape-to-Tape database each year from 1989-92.
To encourage preventive care use, the MediPass program covers annual screening visits for adults and EPSDT
services for beneficiaries from birth to 20 years of age.
A separate brief presents resources to help families find care, services, and support for their children, learn more about EPSDT
, and find tools to help them play a more active role in their children's EPSDT
services are available under EPSDT
to all Medicaid-eligible children
Recommendation: To improve the provision of preventive services to the Medicaid population, the Administrator of CMS should ensure that state Early and Periodic Screening, Diagnostic, and Treatment (EPSDT
) programs are regularly reviewed to identify gaps in provision of EPSDT
services to children and to identify needed improvements.
also requires that states provide all necessary follow-up diagnostic and treatment services.
Social workers need to be able to connect low-income families of children with disabilities to needed resources such as income transfer programs (TANF, SSI, DI), health insurance (SCHIP, Medicaid, and Medicaid's EPSDT
services program, which states must provide children with disabilities or developmental delays), and child care subsidies.
During this period, not all primary care providers were enrolled as EPSDT
providers, but some specialized providers, including health departments, could provide well-child care even if they were not primary care providers under the PCCM system.
makes preventive and period screens for health, including behavioral health, available for all Medicaid enrollees under the age of 21 years; however, implementation of the EPSDT
program varies widely across states.
Finally the state of PA is overwhelmed with the over utilization of the TSS service, usually the most costly aspect of EPSDT
The clinics, located in public county hospitals in Houston, Texas, provide primary and reproductive health care services, including family planning, STD testing and treatment, pregnancy testing, school physicals, HIV testing and counseling, EPSDT
(early periodic screening, detection, and treatment), and health education.
Routine screening through the AHCCCS EPSDT
program identified an 11 month-old Hispanic male in Phoenix with a blood lead level of 48 [[micro]gram]/dL on December 30, 1993.