Early and Periodic Screening, Diagnostic, and Treatment _ Medicaid.gov apply for housing benefit

The early and periodic screening, diagnostic and treatment (EPSDT) benefit provides comprehensive and preventive health care services for children under age 21 who are enrolled in medicaid. EPSDT is key to ensuring that children and adolescents receive appropriate preventive, dental, mental health, and developmental, and specialty services.

States are required to provide comprehensive services and furnish all medicaid coverable, appropriate, and medically necessary services needed to correct and ameliorate health conditions, based on certain federal guidelines. EPSDT is made up of the following screening, diagnostic, and treatment services: screening services

At a minimum, diagnosis and treatment for defects in vision, including eyeglasses. Vision services must be provided according to a distinct periodicity schedule developed by the state and at other intervals as medically necessary.How can i apply for housing benefit

for additional information visit the vision and hearing screening services for children & adolescents page.

At a minimum, dental services include relief of pain and infections, restoration of teeth, and maintenance of dental health. Dental services may not be limited to emergency services. Each state is required to develop a dental periodicity schedule in consultation with recognized dental organizations involved in child health.

At a minimum, hearing services include diagnosis and treatment for defects in hearing, including hearing aids. For additional information visit the vision and hearing screening services for children & adolescents page.

States are required to provide any additional health care services that are coverable under the federal medicaid program and found to be medically necessary to treat, correct or reduce illnesses and conditions discovered regardless of whether the service is covered in a state’s medicaid plan. It is the responsibility of states to determine medical necessity on a case-by-case basis.How can i apply for housing benefit

When a screening examination indicates the need for further evaluation of an individual’s health, diagnostic services must be provided. Necessary referrals should be made without delay and there should be follow-up to ensure the enrollee receives a complete diagnostic evaluation. States should develop quality assurance procedures to assure that comprehensive care is provided.

Periodicity schedules for periodic screening, vision, and hearing services must be provided at intervals that meet reasonable standards of medical practice. States must consult with recognized medical organizations involved in child health care in developing their schedules. Alternatively, states may elect to use a nationally recognized pediatric periodicity schedule (i.E., bright futures). A separate dental periodicity schedule is also required.How can i apply for housing benefit developmental and behavioral screening

Periodic developmental and behavioral screening during early childhood is essential to identify possible delays in growth and development, when steps to address deficits can be most effective. These screenings are required for children enrolled in medicaid, and are also covered for children enrolled in CHIP. This CMS fact sheet describes CMS resources to support states in ensuring enrolled children receive these screenings. Birth to 5: watch me thrive!, a joint effort between the department of health and human services and the department of education, provides additional resources to support states, providers and communities to increase developmental and behavioral screening of young children. Lead screening

While substantial environmental improvements have been made to reduce exposure to lead, there are still over four million children estimated to reside in housing where they are exposed to lead.How can i apply for housing benefit learn more about medicaid lead screening policy. EPSDT strategy guides to support states with the medicaid benefit for children and adolescents

In 1967, congress introduced the medicaid benefit for children and adolescents, known as early and periodic screening, diagnostic and treatment (EPSDT). The goal of this benefit is to ensure that children under the age of 21 who are enrolled in medicaid receive age-appropriate screening, preventive services, and treatment services that are medically necessary to correct or ameliorate any identified conditions – the right care to the right child at the right time in the right setting. This broad scope supports a comprehensive, high-quality health benefit. States share responsibility for implementing the EPSDT benefit with the centers for medicare & medicaid services. (for more information, see what you need to know about EPSDT.)

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As one outcome of a national EPSDT improvement workgroup, the center for medicaid & CHIP services is developing a set of strategy guides, each on a specific topic, to support states and their partners as they implement the EPSDT benefit. Each strategy guide identifies specific, doable approaches to improve access, utilization and quality of care for children and adolescents enrolled in medicaid. Examples of state successes are offered along with web-based links to resources, tools and more in-depth.

In december 2010, CMS convened a national EPSDT improvement workgroup that included state representatives, children’s health providers, consumer representatives, and other experts in the areas of maternal and child health, medicaid, and data analysis. The members of the group will help CMS identify the most critical areas for improvement of EPSDT.How can i apply for housing benefit the group, which meets periodically throughout the year, will also discuss steps that the federal government might undertake in partnership with states and others to both increase the number of children accessing services, and improve the quality of the data reporting that enables a better understanding how effective HHS is putting EPSDT to work for children.