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Items in this list may be obtained from the sources cited. Contact information reflects the most current data about the source that has been provided to the MCH Digital Library.

Displaying records 21 through 40 (324 total).

VanLandeghem K, Sloyer P, Gabor V, Helms V. 2014. National standards for systems of care for children and youth with special health care needs. [Washington, DC]: Association of Maternal and Child Health Programs; [Palo Alto, CA]: Lucile Packard Foundation for Children's Health, 37 pp.

Annotation: This resource provides a set of standards of care for children and youth with special health care needs (CYSHCN) that can be used or adapted by systems and organizations that serve CYSHCN, including state Title V programs, state Medicaid programs, health plans, health professionals, and family/consumer groups to improve quality of care and outcomes for CYSHCN. The standards are divided into eight domains: (1) identification, screening, assessment, and referral; (2) eligibility and enrollment in health coverage; (3) access to care; (4) medical home; (5) community-based services and supports; (6) transition to adulthood; (7) health information technology; and (8) quality assurance and improvement.

Keywords: Adolescents, EPSDT, Health care systems, Measures, National initiatives, Quality assurance, Special health care needs, Standards: Children, Young adults

Perkins J. 2014. Fact sheet: Medicaid EPSDT case trends and docket. Washington, DC: National Health Law Program, 17 pp.

Annotation: This fact sheet summarizes the federal requirements for Medicaid's Early and Periodic Screening, Diagnostic, and Treatment Program (EPSDT), discusses legal and policy trends, and provides an annotated docket of federal and state court cases.

Keywords: Court decisions, EPSDT, Federal programs, Medicaid, Trends

Centers for Medicaid & Medicare Services. 2014. EPSDT: A guide for states–Coverage in the Medicaid benefit for children and adolescents. Baltimore, MD: Centers for Medicaid & Medicare Services, 38 pp.

Annotation: This guide is intended to help states, health professionals, and others understand the scope of services covered under the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program. The guide provides information about periodic and interperiodic screenings, diagnostic services, the scope of treatment services, permissible limitations on coverage of EPSDT services, services available under other federal authorities, access to services, and notice and hearing requirements.

Keywords: Developmental screening, EPSDT, Health supervision, Medicaid, Well child care

Centers for Medicaid & Medicare Services. 2014. Paving the road to good health: Strategies for increasing Medicaid adolescent well-care visits. Baltimore, MD: Centers for Medicaid & Medicare Services, 32 pp.

Annotation: This document discusses why adolescent health is important, the adolescent well-care visit, and strategies for promoting adolescent well-care visits, including adopting current Bright Futures guidelines for adolescents, incentivizing preventive care, encouraging teen-centered care, leveraging missed opportunities, using social media, and developing partnerships with key community stakeholders.

Keywords: Adolescent health, Developmental screening, EPSDT, Health supervision, Medicaid, Well child care

Centers for Medicare & Medicaid Services. 2014. Making connections: Strategies for strengthening care coordination in the Medicaid benefit for children and adolescents. Baltimore, MD: Centers for Medicare & Medicaid Services, 27 pp.

Annotation: This guide presents proven strategies for strengthening care coordination to increase the effective use of services covered by Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) and Children's Health Insurance Programs (CHIP). The guide describes four strategies that have been implemented by multiple states and have produced outcomes demonstrating the value of improved care coordination. The strategies include building care coordination into provider standards for medical homes, supporting primary care providers through care coordination entities, building care coordination requirements into managed care contracts, and implementing a multifaceted intervention to improve coordination across systems. Examples and resources for states are included.

Keywords: Children's Health Insurance Program, Coordination, EPSDT, Health care systems, Health care utilization, Managed care, Medical home, Primary care, Program improvement, State programs

Fields J. 2014. EPSDT screening: Including sexuality education in health education. Washington, DC: National Health Law Program, 4 pp. (Health advocate)

Annotation: This issue brief focuses on opportunities for children and adolescents enrolled in Medicaid and some Children's Health Insurance Programs to receive periodic comprehensive screenings that include sexual health education. Contents include information about the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit for individuals under age 21, key components of the required medical screen including health education and anticipatory guidance, the need for sexual health education, and the challenges to ensuring its provision. Descriptions of key resources are included.

Keywords: Adolescents, Anticipatory guidance, Children, Children's Health Insurance Program, EPSDT, Federal programs, Health education, Health services delivery, Medicaid, Prevention services, Screening, Sexual health, Sexuality education

Steinmetz E, Bruen B, Ku L. 2014. Children's use of dental care in Medicaid: Federal fiscal years 2000–2012. Washington, DC: George Washington University Milken Institute School of Public Health, Department of Health Policy, 28 pp.

Annotation: This report presents national- and state-specific analyses about oral health services received by children and adolescents ages 1–20 under Medicaid's Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit in federal fiscal years (FFY) 2000–2012. The report focuses on the number of children and adolescents who received any service, any preventive service, and any treatment service. Contents include national trends for children and adolescents over the 12–year period and state-specific data for FFY 2012.

Keywords: Adolescents, Children, EPSDT, Health care utilization, Medicaid, Oral health, State programs, Statistical data, Trends, Young adults

Centers for Medicare & Medicaid Services. 2013. Prevention and early identification of mental health and substance use conditions. Baltimore, MD: Centers for Medicare & Medicaid Services, 12 pp. (CMCS informational bulletin)

Annotation: This information bulletin is intended to inform states about resources available to help them meet the needs of children under the Early and Periodic Screening, Diagnostic and Treatment Program (EPSDT), specifically with respect to mental health and substance-use-disorder services. The bulletin provides information about mental illness in children and discusses screening, clinical guidelines, professional development and training, clinical quality reporting, and state initiatives.

Keywords: Access to health care, Child mental health, Diagnosis, Intervention, EPSDT, Guidelines, Health services, Initiatives, Mental disorders, Resource materials, Screening, State programs, Substance abuse, Training, Treatment

Thorpe J, Rosenbaum S. 2013. Understanding the interaction between EPSDT and federal health information privacy and confidentiality laws. Washington, DC: George Washington University School of Public Health and Health Services, Department on Health Policy, 31 pp.

Annotation: This paper examines the federal legal framework that surrounds the use and disclosure of health information across health care, educational, and social service settings for Medicaid-eligible children. The analysis begins with a discussion of the overarching considerations that apply to federal laws governing health information privacy, including client-professional relationships, parent-child relationships, and treatment across multiple care settings. Additional topics include an overview of relevant laws and regulations and the types of information-management and exchange issues that arise when professionals who practice in different systems are engaged in caring for children in Medicaid. Recommendations are also presented.

Keywords: Children, Confidentiality, EPSDT, Health services, Information systems, Legal issues, Legislation, Medicaid, Medical records, Systems development

Centers for Medicare & Medicaid Services. 2013. Keep kids smiling: Promoting oral health through the Medicaid benefit for children and adolescents. Baltimore, MD: Centers for Medicare & Medicaid Services, 40 pp.

Annotation: This guide provides examples of successful approaches to improving oral health care access and use for children and adolescents enrolled in Medicaid. Contents include facts on oral health and why it is important, strategies for promoting oral health, and resources. Strategies include improving state Medicaid program performance through policy changes; maximizing provider participation; directly addressing children, adolescents, and their families; and partnering with stakeholders.

Keywords: EPSDT, Adolescents, Children, Consumer education, Health promotion, Medicaid, Oral health, Policy development, Program improvement, Provider participation, State initiatives

Vermont Family Network. [2011]. Health care financing for your child with special needs: Six ways to access Medicaid and other health care benefits. Willston, VT: Vermont Family Network, 48 pp.

Annotation: This booklet is designed to serve as a guide for families seeking information about health care financing for children with special health care needs (CSHCN) to help them navigate the mix of private and pubic health programs. Topics include managing health care for CSHCN; public programs for CSHCN; benefits of Medicaid and the Early and Periodic Screening, Diagnostic and Treatment Program; advocating for eligibility and benefits; grievances and appeals; and the transition to adulthood.[Funded in part by the Maternal and Child Health Bureau]

Keywords: Access to health care, Advocacy, Children with special health care needs, Consumer education materials, EPSDT, Eligibility, Families, Financing, Medicaid, Programs, Transition planning

American Academy of Pediatric Dentistry, Pediatric Oral Health Research and Policy Center. 2011–. State dental periodicity schedules. Chicago, IL: American Academy of Pediatric Dentistry, Pediatric Oral Health Research and Policy Center,

Annotation: The resource comprises a map and related materials on state dental periodicity schedules for infants, children, and adolescents from birth to age 18.The color-coded map links to information on (1) states that have no schedule, (2) states that use a schedule, and (3) states that use the American Academy of Pediatric Dentistry (AAPD) recommended schedule. Related materials include AAPD’s Guideline on Periodicity of Examination, Preventive Dental Services, Anticipatory Guidance/Counseling, and Oral Treatment for Infants, Children, and Adolescents.

Keywords: Adolescents, Children, EPSDT, Health examinations, Infants, Low income groups, Oral health, Oral health care, Preventive health services, State programs

Farrell K, Hess C. 2011. The role of children's coverage in a changing health care landscape: EPSDT, CHIP, and heatlh care reform. Portland, ME: National Academy for State Health Policy, 14 pp.

Annotation: This brief focuses on the National Academy for State Health Policy's meeting, titled EPSDT, CHIP and Health Reform: A Discussion with State EPSDT and CHIP Leaders," held in November 2010. The brief captures the themes and discusses the opportunities and challenges identified at that meeting to lay out a vision for how Medicaid's Early and Periodic Screening, Diagnostic, and Treatment Program and the Children's Health Insurance Program can work together to improve health coverage for children in the context of health care reform.

Keywords: Child health, Children's Health Insurance Program, EPSDT, Health care reform, Low income groups, Medicaid, Public policy, State programs

Purington K, Dierker, Stanek M. 2011. Health IT, quality reporting and Medicaid well child benefits: An assessment of progress and potential in the District of Columbia. Portland, ME: National Academy for State Health Policy, 68 pp.

Annotation: This report addresses how evolving health information technology and health information enterprise capacity and the emerging quality measurement framework for children's health can promote better quality measurement and reporting for EPSDT services. Contents include key findings and recommendations for EPSDT quality oversight and improvement in the District of Columbia.

Keywords: District of Columbia, EPSDT, Health information technology, Legal responsibility, Medicaid, Program improvement, Progress reports, Quality assurance, State surveys, Well child care

Maternal and Child Health Bureau. 2011. Collaboration and action to improve child health systems: Toolkit for state leaders. Rockville, MD: Maternal and Child Health Bureau, 52 pp.

Annotation: This toolkit provides an approach to mapping (i.e., drawing) the child health system in a state so state leaders can better envision the flow of services and funding that support access to care for children and families and identify opportunities for improvement. It contains system diagrams and discussion questions on the following topics: the Title V agency role in ensuring child health; Early and Periodic Screening, Diagnosis, and Treatment Program (EPSDT) mandates on collaboration and outreach to families; medical and dental homes; EPSDT screening visits; linkages, case management, and care coordination; care for children with special health care needs; Medicaid managed care; and public-private and interagency collaboration. Sample scenarios are provided to guide discussion, and tips on designing and facilitating a state leadership workshop are included. [Funded by the Maternal and Child Health Bureau]

Keywords: Child health, Children, Collaboration, EPSDT, Federal initiatives, Leadership, Medicaid, Oral health, Public private partnerships, Service integration, State MCH programs, Systems development

National Early Childhood Technical Assistance Center and IDEA Infant and Toddler Coordinators Association. 2011. Accessing EPSDT for Part C services: Achieving a better fit between the EI philosophy and allowable Medicaid covered services. Chapel Hill, NC: National Early Childhood Technical Assistance Center, 1 webcast (31 min.).

Annotation: This webinar, presented by Virginia's Department of Behavioral Health and Developmental Services and Department of Medical Assistance Services, offers experiences and resources about how a state may choose to access Medicaid to enhance its financing system and potentially increase service delivery to infants and children with disabilities who are Medicaid recipients. The webinar shares Virginia's experience in achieving a better fit between the early intervention philosophy and allowable, Medicaid-covered services. Presentations also discuss accessing treatment services for Part C services of the Individuals with Educational Disabilities Education Act.

Keywords: Children with special health care needs, Chronic illnesses and disabilities, EPSDT, Early intervention, Financing, Infants with special health care needs, Legislation, Medicaid, Resource materials, Service delivery, State programs, Treatment, Treatment, Virginia

Judge David L. Bazelon Center for Mental Health Law. 2010. An evaluation of state EPSDT screening tools. Washington, DC: Judge David L. Bazelon Center for Mental Health Law, 7 pp. (Protecting consumer rights in public systems' managed mental health care policy; no. 3; )

Tinanoff N, Lowe E, Holt K, Goodman H. 2010. Maryland's Mouths Matter: Fluoride varnish and oral health screening programs for kids—Training for EPSDT medical providers in Maryland. Washington, DC: National Maternal and Child Oral Health Resource Center; Baltimore, MD: Maryland Department of Health, Office of Oral Health, 1 v.

Annotation: This curriculum is designed to provide Early and Periodic Screening, Diagnosis, and Treatment non-oral-health professionals in Maryland with knowledge and skills to reduce the incidence of dental caries among children ages 3 and under and to help establish a dental home. The four modules provide information on the role of non-oral-health professionals in children’s oral health and describe the dental caries process and how to conduct a dental caries risk assessment. The modules also address anticipatory guidance, fluoride varnish application, and referral to a dentist. [Funded in part by the Maternal and Child Health Bureau]

Keywords: Anticipatory guidance, Curricula, Dental caries, Disease prevention, Distance education, EPSDT, Fluorides, Maryland, Oral health, Professional training, Referrals, Risk assessment, Screening, Young children

Kaye N, May J. 2010. State innovations in EPSDT. Portland, ME: National Academy for State Health Policy, 21 pp.

Annotation: This technical report provides guidance to assist state Medicaid staff in effectively administering the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program. Based on best practices, barriers to improvement, and strategies for achieving goals as described by state EPSDT coordinators between 2007 and 2009, the report outlines how Medicaid staff can translate the federal EPSDT requirements into their state's Medicaid program policies and operations; coordinate with other state agencies; and help ensure that families, physicians, and other Medicaid providers understand the full scope of the preventive, diagnostic, treatment, care coordination, and support services that are covered by the program. The report identifies eight innovative strategies that states are using to achieve the following EPSDT program goals: (1) providing all children with EPSDT screenings and other preventive care as specified in the state's periodicity schedule; (2) providing all children with access to the diagnostic and treatment services needed to ameliorate or treat conditions; and (3) ensuring the qualify of all EPSDT services provided to children.

Keywords: EPSDT, Federal programs, Guidelines, Medicaid, Model programs, Program Improvement, State programs

Johnson K. 2010. Managing the "T" in EPSDT. Portland, ME: National Academy for State Health Policy, 21 pp.

Annotation: This brief, which is geared toward state agency staff administering Medicaid's Early and Periodic Screening, Diagnosis, and Treatment program (EPSDT) programs as well as state staff from other agencies endeavoring to improve the delivery of services to young children, explores states efforts and opportunities to improve access to treatment services in EPSDT. Topics include treatment covered under EPSDT, why some children do not receive covered treatment, and strategies states use to improve appropriate use of EPSDT treatment.

Keywords: Access to health care, Child health, Diagnosis, EPSDT, Low income groups, Medicaid, Screening, State programs, Treatment, Young children
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The MCH Library is one of six special collections at Georgetown University, the nation's oldest Jesuit institution of higher education. The library is supported through foundation, private, university, state, and federal funding. This information or content and conclusions are those of the authors and should not be construed as the official position or policy of, nor should any endorsements be inferred by Georgetown University or the U.S. Government. Note: web pages whose development was supported by federal government grants are being reviewed to comply with applicable Executive Orders.