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Strengthen the Evidence for Maternal and Child Health Programs

Hiscock Historical Collection

Preserving the Early Development of Medicaid's EPSDT Benefit


Displaying records 1 through 20 (45 total).

Applied Management Sciences. 1976. A pretest-posttest analysis of Medicaid utilization and cost data for evaluation of EPSDT impact on Medicaid: Methodological report. Silver Spring, MD: Applied Management Sciences, 20 pp, (Hiscock Collection; no. 38).

This report examines methods for a study of the effects of Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program screening on medical care utilization and costs, using data between 1974 and February 1977 in two unnamed states.

Irwin PH, Pellegrini SG, Conroy-Hughes R. 1979. A study of the process, effectiveness, and costs of the EPSDT program in southeastern Pennsylvania: Second interim report--Conceptual modeling. Philadelphia, PA: Philadelphia Health Management Corporation, 60 pp, (Hiscock Collection; no. 143).

This report provides a theoretical conceptual model of the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Program in southeastern Pennsylvania, looking at the components of the administration of EPSDT and the interrelationships of these components. It focuses on outreach and performance measures.

Reis JS et al., with the assistance of Kingman P et al. 1979. An assessment of the validity of the results of HCFA's demonstration and evaluation program for the Early and Periodic Screening, Diagnosis and Treatment Program (EPSDT): A metaevaluation (Working draft). Evanston, IL: Northwestern University Center for Health Services and Policy Research, 1 v, (Hiscock Collection; no. 100 (summary), 101 (full report)).

This document reviews the validity of the information in 21 reports of the 15 demonstration/evaluation projects on EPSDT funded by the Health Care Financing Administration (formerly SRS) from 1972-1978. It discusses the populations of the demonstrations; case finding and outreach; screening; case monitoring; diagnosis and treatment; data management; costs; lessons for the Child Health Assurance Act of 1979; and strategic options for future demonstration/evaluation policy.

Foltz AM. 1982. An ounce of prevention: Child health policies under Medicaid. Cambridge, MA: MIT Press, 254 pp, (MIT Press series in health and public policy; 4; Hiscock collection; related).

This book analyzes the Early and Periodic Screening, Diagnosis, and Treatment program (EPSDT) of Medicaid (Title XIX).

    [U.S. Department of Health and Human Services, Health Care Financing Administration]. 1994?-. Annual EPSDT participation report: All states—Fiscal year 19__. [Baltimore, MD: U.S. Department of Health and Human Services, Health Care Financing Administration], annual, (Hiscock Collection; related).

    Teresa Gardner
    U.S. Centers for Medicare & Medicaid Services
    7500 Security Boulevard
    Baltimore, MD 21244

    Telephone: (877) 267-2323
    Secondary Telephone: (410) 786-3000
    Contact Phone: (410) 786-3289
    Fax:
    Contact E-mail: tgardner@hcfa.gov
    Website: https://www.cms.gov
    Available from the website.

    This annual statistical summary provides state by state information on the utilization of the services provided by the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) program. It provides statistics in these categories, among others: age groups, eligible populations, participant ratios, reported screenings, health screening supervision, referrals for corrective services, and data on those receiving vision, dental, and hearing services.

    National Institute for Advanced Studies. 1981. Assessment of California's EPSDT case management system: Technical assistance to California in the development of Medicaid MMIS for EPSDT module. Washington, DC: National Institute for Advanced Studies, 1 v, (Hiscock Collection; no. 136).

    Applied Management Sciencesurl verified 7/8/16 OKP. 1976. Assessment of EPSDT practices and costs: Best practices report. Silver Spring, MD: Applied Management Sciences, ca 150 pp, (Hiscock Collection; no. 39).

    This report describes and analyses the best practices components identified from a review of the EPSDT program in six sample states and 18 localities and presents recommendations.

    Miller HM with Levine D, Scovill R, Charpentier P. 1976. Assessment of EPSDT practices and costs: Final report. Silver Spring, MD: Applied Management Sciences, 21 pp, (Hiscock Collection; no. 40).

    This report describes the results of assessments of three concerns in EPSDT: barriers to full implementation of the EPSDT program; best practice methodologies for screening and case management activities; and the impact of EPSDT on state Medicaid budgets.

    Miller H, Levine D, Scovill R, Charpentier PR. 1976 (report), 1978 (summary). Assessment of EPSDT practices and costs: Final report. Silver Spring, MD: Applied Management Sciences, 2 v, (Hiscock Collection; no. 125, 126).

    This executive summary and final report examine the impact of the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program on state Medicaid utilization rates and program costs, using data from the pre-screening year (1974), the year of screening (1975), and the year following screening (1976). The report categorizes the states by type but does not name them.

    Miller H, Levine D. 1976. Assessment of EPSDT practices and costs: Report on the Cost Impact of EPSDT Program. Silver Spring, MD: Applied Management Services, 186 pp, (Hiscock Collection; no. 42).

    This report describes the impact of EPSDT on utilization and expenditures of medical services under Medicaid; impact of EPSDT on local site costs, state administrative costs, and total Medicaid costs; and the reliability and validity of the study findings.

    Applied Management Sciences. 1975. Barrier assessment report: Assessment of EPSDT practices and costs. Silver Spring, MD: Applied Management Sciences, 63 pp, (Hiscock Collection; no. 41).

    This report examines major barriers to the EPSDT program, including identification, classification by type and by origin, assessment according to impact, and recommendations for resolving them.

    U.S. Select Panel for the Promotion of Child Health. 1981. Better health for our children: A national strategy—The report of the Select Panel for the Promotion of Child Health to the United States Congress and the Secretary of Health and Human Services. Washington, DC: U.S. Department of Health and Human Services, Office of the Assistant Secretary for Health and Surgeon General, 4 v, summ (21 pp), (Hiscock collection; related).

    This 4-volume report presents major findings and specific recommendations in five federal programs with significant impact on child health: Title V of the Social Security Act; the Special Supplemental Food Program for Women, Infants, and Children (WIC); P.L. 94-142: Education for All Handicapped Children Act; Medicaid and EPSDT; and community mental health centers and services.

    Lee MA, Horan SA. 1999. Children's access to dental care in a Medicaid managed care program: A qualitative and quantitative analysis. Hartford, CT: Children's Health Council, 29 pp, (Hiscock Collection; related).

    National Maternal and Child Oral Health Resource Center
    Georgetown University Washington, DC 20057

    E-mail: OHRCinfo@georgetown.edu
    Website: https://www.mchoralhealth.org
    Available from the website.

    This report explains the methodology and results of a study of the impact of Medicaid managed care on access to oral health care for children under the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) program in Connecticut. The study sample included 87, 181 children. Results were evaluated both qualitatively and quantitatively. Statistical tables and references are included at the end of the report.

    University of Texas Health Science Center at San Antonio, Health Services Research Institute. 1978. Demonstration in follow-up: EPSDT, Pierce County, Washington--First evaluation report (June 1977-April 1978). San Antonio, TX: University of Texas Health Science Center at San Antonio, Health Services Research Institute, (Hiscock Collection; no. 2).

    This interim report describes initial steps in a project in Pierce County, Washington, to demonstrate the effectiveness of a follow-up system in assuring that children found to have problems during screening in the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program receive diagnosis and treatment. It describes the project background; project data sheets; provider and client characteristics; problems found at screening; the treatment and referral of problems; the case monitoring subsystem; and major findings.

    Lurie LM, Wood J. 1978. Early and Periodic Screening, Diagnosis and Treatment demonstration project: Interim evaluation report through June 30, 1978, volume II. Miami, FL: International Planning Associates, 122 pp, (Hiscock Collection; no. 120).

    This report covers year 2 of a project to describe and evaluate the Dade County Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Demonstration Project. It covers case monitoring; school intervention; developmental screening; older child; and interagency collaboration.

    Martin HW, Britt AE. 1975. EPSDT demonstration model evaluation handbook: Evaluation plan, goals, common data base, cost data collection performance measurement, subsystem definitions, statistical data collection procedures, standard and special studies, standard reports, testable hypotheses, sample forms and program of instruction for screeners . San Antonio, TX: University of Texas Health Science Center at San Antonio, Health Services Research Institute, 558 pp, (Hiscock Collection; no. 32).

    Martin HW, Dickson HD. 1976. EPSDT demonstration projects: An interim evaluation, April 1974-March 1975--third cumulative evaluation report of EPSDT demonstrations at: Barrio Clinic (San Antonio, Texas), Contra Costa County Health Department (California), Cuba Checkerboard Health System (Cuba, New Mexico), National Child Day Care Association (Washington, D.C.) . San Antonio, TX: University of Texas Health Science Center at San Antonio, Health Services Research Institute, 142 pp plus 8 appendices, (Hiscock Collection; no. 6).

    This report describes the evaluation approach of a study of four Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) programs, and presents findings in the areas of a common database, screening, the problem of duplication of effort, developmental screening, motivating clients to use screening services, case monitoring, and costs.

    Bokonon Systems. 1975. EPSDT evaluation model site selection criteria. Washington, DC: Bokonon Systems, 20 pp, (Hiscock Collection; no. 9b).

    This document examines information about 12 states for which sufficient data exist to identify 2-3 states that could be suitable demonstration sites for an EPSDT evaluation model.

    Dickson HD. n.d.. EPSDT impact and evaluation studies. San Antonio, TX: University of Texas Health Science Center, Regional Health Services Research Institute, 16 pp, (Hiscock Collection; no. 151).

    This document provides data related to several EPSDT studies in Iowa, Mississippi, New Jersey, Montana, Utah, Virginia, Louisiana, and California.

    National Association of Urban-Based HMOsElectronic Document-Server; Bookshelves. 2002. EPSDT issues in Medicaid managed care: Policy recommendations for an enhanced public/private partnership. Washington, DC: National Association of Urban-Based HMOs, 20 pp, (Hiscock Collection; related).

    Medicaid Health Plans of America
    1140 Connecticut Avenue, N.W., Suite 505
    Washington, DC 20036

    Telephone: (202) 857-5720
    Fax: (202) 857-5731
    E-mail: mhpa@rcn.com
    Website: http://www.mhpa.org/index.cfm?fuseAction=section&pSectionID=174
    Available from the website.

    This paper outlines access and quality issues in EPSDT (Early and Periodic Screening, Diagnostic, and Treatment) Program requirements for children enrolled in Medicaid managed care programs. It provides an overview of the current situation, a statement of the problem of children receiving appropriate care and how best to monitor care, and how to ensure data are comparable across states. Also discussed are EPSDT periodicity inconsistencies between visits and between states, how best to capture data in a central repository, incentives for providers, and how t best to measure plan performance. Recommendations are provided for each of the topics as well as recommended policies.

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    This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U02MC31613, MCH Advanced Education Policy, $3.5 M. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.