EPSDT
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EPSDT :: Early and Periodic Screening, Diagnostic and Treatment – Ohio’s Model Practices
As part of AAICAMA’s Education and Training Webinar Series – Non-Title IV-E Medicaid Training in June 2021, we provided a segment on EPSDT, presented by the Ohio Department of Medicaid.
To access the Presentation, click here. The Non-Title IV-E Medicaid :: EPSDT – Ohio’s Model Practices segment begins on slide #28.
To access the full recording of the training, click here.
EPSDT :: Early and Periodic Screening, Diagnostic and Treatment
EPSDT is a mandatory service of the Medicaid program in all states.
EPSDT is designed to provide preventive services and treatment to children under the age of 21 enrolled in Medicaid.
EPSDT Factsheet : MEDICAID: EARLY AND PERIODIC SCREENING, DIAGNOSTIC, AND TREATMENT BENEFIT (EPSDT)
Practice Bulletin on EPSDT
This Bulletin includes information on:
What is the state role in the EPSDT program?
How does EPSDT work?
Why is the term medically necessary’ important?
To download the Bulletin, go to: EPSDT and Medicaid.
EPSDT :: Training Webinar
AAICAMA, in partnership with Young Minds Advocacy, hosted a webinar on EPSDT on October 24, 2016.
To access the recording of the training go to:
EPSDT Training Webinar.
Please note that the slides begin immediately and the audio begins at 3 minutes:17 seconds
To download the slides from the webinar, go to: EPSDT_Interstate_Young_Minds_Advocacy
EPSDT :: Legal Underpinnings
The federal law on EPSDT can be found at: 42 C.F.R. §441.50, and 441.55-441.60.
EPSDT :: CMS Resources
Additonal information on EPSDT can be found on the Centers for Medicare and Mediciad Services (CMS) website.
CMS website.
A Guide for States: Coverage in the Medicaid Benefit for Children and Adolescents, link:
EPSDT Coverage Guide.pdf.
The federal law on EPSDT can be found at: ;42 C.F.R. §441.50, and 441.55-441.
The sections in 42 C.F.R. §441.50, and 441.55-441.60 by topic:
- 42 C.F.R. §441.50 Basis and purpose of the section.
- 42 C.F.R. §441.55 State Plan Requirements identifies the sections of the subpart that contain EPSDT requirements that must be met by states.
- 42 C.F.R. §441.56 Identifies required activities in the areas of informing, screening, diagnosis and treatment, accountability, and timeliness.
- 42 C.F.R. §441.57 Discretionary services agencies are allowed to provide for additional care for EPSDT recipients.
- 42 C.F.R. §441.58 Requirements for implementation of periodicity schedule.
- 42 C.F.R. §441.59 Screening services must be provided upon request.
- 42 C.F.R. §441.60 Requirements for providers who have long-term agreements for providing EPSDT services.
- 42 C.F.R. §441.61 Procedure for referrals and coordination with other programs.