Early
and Periodic Screening, Diagnostic, and Treatment
(EPSDT) Services
Knowledge Path
July 2006
Table
of Contents |
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Introduction
The Early and Periodic
Screening, Diagnostic, and Treatment
(EPSDT) program provides comprehensive
health services for infants, children,
and adolescents enrolled in Medicaid.
Under federal regulations, states are
given some flexibility in determining
the periodicity or timing of the health
visits and screenings, but the content
of screening services is mandated by
law to include the following:
- Comprehensive health
and developmental history, including
a developmental assessment of physical
and mental health
- Comprehensive physical
examination
- Immunizations, based
on the current approved Advisory Committee
on Immunization Practices schedule
- Laboratory tests, including
mandatory lead screening
- Vision, hearing, and
dental screening
- Health education and
anticipatory guidance (See the Centers
for Medicare and Medicaid Services'
(CMS') EPSDT fact sheet for
program details).
Data indicate, however,
that many children do not receive the
EPSDT services for which they are eligible.
Reasons include inadequate systems for
reporting the provision of EPSDT services
to ensure that services are fully and
appropriately provided; limited health
professional participation in Medicaid,
particularly among dentists and mental
health professionals; and a lack of awareness
among some parents of eligible children
about the availability of these services
(General
Accounting Office (GAO),
2001). In addition, the Deficit Reduction
Act of 2006 weakened federal benefit
and cost sharing standards for Medicaid
and gave states increased flexibility
in designing programs that could negatively
impact EPSDT services for eligible infants,
children, and adolescents (Center
for Children and Families (CCF),
2006).
This knowledge path has been compiled
by the Maternal
and Child Health Library at
Georgetown University. It offers
a selection of current, high-quality
resources about providing and strengthening
EPSDT services. The path includes
guidelines for the frequency, timing,
and content of health-promotion
and disease-prevention services
for infants, children, and adolescents.
It is aimed at health professionals,
program administrators, policymakers,
and families, and it will be updated
periodically.
Related topics: Please see
our knowledge paths about child
and adolescent health insurance
and access to care, children
and adolescents with special
health care needs,
and locating
community-based services to
support children and families.
Please note: According
to the Centers
for Medicare and
Medicaid Services
(CMS),
the "D" in "EPSDT" stands
for
"Diagnostic." However,
"Diagnosis" is
frequently used
in the literature
and therefore
appears often
below.
Overview
Web Sites:
A-Z
- American
Academy of Pediatrics (AAP).
Contains guidelines, schedules,
health-education materials, and
other resources for strengthening
EPSDT services. Tools include
Bright
Futures: Guidelines for health
supervision of infants, children,
and adolescents, 3rd ed. (2007).
Medicaid
policy statement.
(2005).
Recommendations
for preventive pediatric health
care, rev. ed.
(2007).
Recommended
childhood and adolescent immunization
schedule: United States, 2006.
(2006).
Scope
of health care benefits for children
from birth through age 21, rev.
ed.
(2006).
- Center
for Children and Families (CCF).
Presents analyses of federal policy
developments and state-based initiatives
affecting the health care coverage
of America's families that include
analyses of EPSDT services. CCF
is based at Georgetown University's
Health Policy Institute. Publications
include
Deficit
Reduction Act: A review of key
Medicaid provisions affecting
children and families. (2006).
Why
Medicaid matters: The frontline
perspectives of people with chronic
conditions.
(2005). An executive
summary is
available.
- Center
for Health Services Research and
Policy (CHSRP).
Contains issue briefs, reports,
journal articles, and other publications
for policymakers, program administrators,
and health professionals about
MCH delivery systems, including
the implementation of SCHIP and
EPSDT coverage policies. CHSRP
is part of the George Washington
University School of Public Health
and Health Services. Recent publications
include
Medicaid's
role in treating children in
military families.
(2005).
National
security and U.S. child health
policy: The origins and continuing
role of Medicaid and EPSDT.
(2005).
- Centers
for Disease Control and Prevention
(CDC). Contains
a number of resources relevant
to the provision of EPSDT services,
including
CDC
growth charts: United States.
(2000). Contains tools and background
information for plotting the
growth of infants, children,
and adolescents through age
20. Also links to interactive
training modules for health
professionals using the pediatric
growth charts in clinical and
public health settings. The
growth charts are available
in English, Spanish, and French.
Childhood
and adolescent immunization schedule.
(2006). Contains the immunization
schedule in various formats, a
catch-up schedule, education materials,
and other resources related to
immunization services. The schedule
is available in English and Spanish.
Developmental
Screening.
Offers background information,
screening tools, and recommendations
for developmental screening.
Early
Hearing Detection and Intervention
(EHDI) Program: Organizational
Recommendations and Screening Guidelines.
Contains links to guidelines for
newborn hearing programs and audiologic
screening for infants, children,
and adolescents.
Recommendations
for blood lead screening of young
children enrolled in Medicaid:
Targeting a group at high risk.
(2000). This report provides recommendations
for improved screening strategies
and relevant background information
to improve the delivery of lead-related
services to children served by
Medicaid.
Also see CDC's Pediatric
Nutrition Surveillance System (PedNSS).
- Centers
for Medicare and Medicaid Services
(CMS).
Contains general
information about Medicaid with
links to eligibility
information.
Offers an overview of
the EPSDT program and a fact
sheet that
describes the required services
for EPSDT within each state's Medicaid
program. Also provides an overview of
state Medicaid agency responsibilities
regarding EPSDT with links to the
annual EPSDT report, reporting
instructions, and state and national
summaries from the reports. Publications
include
Guide
to children's dental care in
Medicaid.
(2004).
- Children's
Dental Health Project (CDHP).
Contains program information and
resources about children's oral
health, particularly issues involving
access to care, financing programs,
and health disparities. Several
reports detail actions taken by
federal and state governments that
may affect access to oral health
care for infants, children, and
adolescents who receive EPSDT services,
as follows:
Dental
benefits in the Medicaid/CHP+
streamlining HIFA waiver.
(2005). This report outlines
a proposed benefit design that
honors the nature of pediatric
oral health and respects legal
requirements in EPSDT and SCHIP.
Does
flexibility spell loss of dental
benefits? (2005).
Pressure
builds to cut $10B. Policy shifts
in Medicaid programs for children. (2005).
Protecting
kids' dental benefits in Medicaid. (2005).
Understanding
Medicaid state waivers and their
impact on children's dental coverage.
(2006).
- Commonwealth
Fund.
Contains program information and
an extensive collection of reports
about children's
health and development that
can be used for improving EPSDT-related
services. The Commonwealth Fund
is a private foundation working
to improve health coverage and
quality. Recent publications include
Comparing
EPSDT and commercial insurance
benefits.
(2005).
Early
child development in social context:
A chartbook.
(2004).
EPSDT
and children's coverage costs.
(2005).
EPSDT:
An overview.
(2005).
How
Medicaid and EPSDT promote healthy
child development among children
with special health care needs.
(2005).
How
medical claims simplification can
impede delivery of child developmental
services.
(2005).
Promoting
healthy development survey-PLUS
(PHD-PLUS) implementation guidelines.
(2006).
Quality
of preventive health care for young
children: Strategies for improvement.
(2005).
Role
of states in improving health and
health care for young children. (2005).
Studying
and tracking early child development
from a health perspective: A review
of available data sources.
(2005).
Using
external quality review organizations
to improve the quality of preventive
and developmental services for
children.
(2005).
Also see the learning
modules, Practical
Guide for Healthy Development,
and the webcast, Health
Services for Children: The Role of
Medicaid and Its Benefit Package. See
too the National
Academy for State Health Policy (NASHP) for
information about the program, Assuring
Better Child Health and Development
(ABCD). The learning modules, Webcast,
and program are funded by the Commonwealth
Fund.
- Department
of Health and Human Services: Office
of the Inspector General.
Offers a series of reports about
studies conducted in eight states
to assess whether sampled children
in foster care are receiving health
care services that fulfill federal
and state requirements, including
EPSDT medical and dental examinations
and an initial health examination
upon entry into foster care. The
state reports are Georgia (2005), Illinois (2004), Kansas (2003), New
Jersey (2003), New
York (2005), North
Dakota (2004), Oregon (2004),
and Texas (2004).
- Developmental
Behavioral Pediatrics Online (dbpeds.org).
Contains screening tools and other
resources for health professionals
to promote better care and outcomes
for children, adolescents, and
families affected by developmental,
learning, and behavioral problems.
dbpeds.org is affiliated with AAP's
Section on Developmental and Behavioral
Pediatrics. See the dbpeds.org online
tutorial about
screening children for developmental,
behavioral, and emotional problems.
- Health
Resources and Services Administration/Maternal
and Child Health Bureau (MCHB). Offers
the following set of EPSDT resources:
EPSDT
and Title V Collaboration to
Improve Child Health.
Provides information about EPSDT
and about opportunities for
collaboration between Title
V and Medicaid to improve EPSDT
screening and treatment rates.
Also offers information about
how the EPSDT benefit is administered,
the reporting process, family
support strategies, and specific
policy and legislative issues.
This tool is presented by MCHB
in partnership with George
Washington University's Department
of Health Policy.
- Kaiser
Family Foundation (KFF): Medicaid/SCHIP.
Contains news, publications, program
information, and data about Medicaid,
including EPSDT services. KFF is
an independent philanthropy focusing
on national health care issues.
Publications include
Medicaid
resource book.
(2003). This comprehensive reference
tool describes Medicaid eligibility,
benefits, financing, and administration
and includes discussion of EPSDT,
among other components of the
Medicaid program.
Early
and Periodic Screening, Diagnostic,
and Treatment Services.
(2005). [Fact sheet].
- National
Academy for State Health Policy
(NASHP): Assuring Better Child
Health and Development (ABCD) Program.
Contains program information and
resources to help states improve
the delivery of early childhood
development services, including
EPSDT-related services, for children
with low incomes and their families.
ABCD is funded by the Commonwealth
Fund.
Resources and publications include
ABCD
Reading Room.
This collection of resources
for state policymakers focuses
on (1) relevant findings from
the science of early childhood
development, (2) preventive
health care guidelines and new
directions, (3) promoting young
children's mental health, (4)
measurement and quality improvement
in early childhood services,
(5) comprehensive and systematic
approaches to early childhood
services, and (6) early childhood
services costs and financing
strategies.
How
states are working with physicians
to improve the quality of children's
health care.
(2006).
Improving
the delivery of health care that
supports young children's healthy
mental development: Early accomplishments
and lessons learned from a five-state
consortium.
(2006).
Key
measurement issues in screening,
referral, and follow-up care for
young children's social and emotional
development.
(2005).
State
approaches to promoting young children's
healthy mental development: A survey
of Medicaid, maternal and child
health, and mental health agencies.
(2005).
Using
Medicaid to support young children's
healthy mental development.
(2003).
Washington
state well child exam forms, rev.
ed.
(2004). This set of forms was developed
as an EPSDT charting tool designed
to promote standardization in the
delivery of developmental services
for children with low incomes and
to enhance the state's capacity
to review patient records for quality.
The charting forms (available in
seven languages and covering age
groups from infancy through adolescence)
furnish guidance and information
to both physicians and parents
and address age-specific development
issues. The set of forms is currently
available to all primary care providers
statewide and has been mandated
for the care of children in foster
care.
- National
Center for Hearing Assessment and
Management (NCHAM).
Contains a wealth of resources
for health professionals, policymakers,
program administrators, and families
about early identification and
management of hearing loss. NCHAM
assists hospital-based Universal
Newborn Hearing Screening and state-based
Early Hearing Detection and Intervention
programs in their efforts to ensure
that all infants and toddlers with
hearing loss are identified as
early as possible and provided
with timely and appropriate audiological,
educational, and medical intervention.
NCHAM is located at Utah
State University.
- National
Health Law Program (NHeLP).
Offers manuals, issue briefs, case
dockets, and other resources about EPSDT.
NHeLP is a national public interest
law firm that aims to improve health
care for families with low incomes,
minorities, the elderly, and people
with disabilities. Publications
include
Children’s
health under Medicaid: A national
review of Early and Periodic
Screening, Diagnosis and Treatment,
3rd ed. (2005).
This chartbook provides an overview
of the successes and shortcomings
of the EPSDT program and notes
some of the innovative methods
being tried across the country
to improve children's health
through EPSDT.
Medicaid
Early and Periodic Screening, Diagnosis,
and Treatment: Recent case developments,
rev. ed.
(2005).
Toward
a healthy future: Early and Periodic
Screening, Diagnostic and Treatment
services for poor children and
youth. A comprehensive overview
of Medicaid's EPSDT program, rev.
ed.
(2003).
Additional
Electronic Publications
- Bertness J, Holt K.
2003. Head
Start: An opportunity to improve the
oral health of children and families.
Washington, DC: National
Maternal and Child Oral Health Resource
Center (OHRC).
This fact sheet discusses the role
Head Start programs can have in providing
access to oral health services, including
education, screening, and examination
for Head Start participants, many of
whom are enrolled in the EPSDT program.
- Center for Best Practices.
2005. Funding
for children's mental health services:
Making the most of Medicaid.
Washington, DC: National
Governors Association.
This issue brief discusses ways in
which states can expand coverage for
children with mental disorders. The
brief provides a summary of the problems
(which includes a list of steps states
can take to expand coverage) and discusses
the cost of care; the cost of unmet
needs; coverage options (private vs.
public insurance); Medicaid-related
services and options including EPSDT;
Home and Community-Based Services waivers;
and the Tax Equity and Financial Responsibility
Act option. In addition, the brief
provides information about why states
are not using these options to the
fullest extent possible and offers
suggestions for what can be done.
- Ferebee A. 2004. Childhood
vision: Public challenges and opportunities.
Washington, DC: Center
for Health and Health Care in Schools.
This policy brief provides a framework
for policymakers, educators, and
parents to assess the adequacy of
current strategies to identify children
with vision problems. The brief outlines
issues in vision testing for children,
describes programs and policies currently
in place, summarizes select state
and federal initiatives, and discusses
policy options for ensuring that
children's vision problems are identified
and treated in a timely manner.
- Fox H, McManus P. 2005. 50-state
analysis of Medicaid benefit coverage
for children without EPSDT.
Washington, DC: Maternal
and Child Health Policy Research
Center.
This memorandum provides an analysis
of limits on the amount, duration,
and scope of Medicaid coverage that
would be available to children in
50 states (excluding Oregon and including
the District of Columbia) if the
EPSDT benefits requirement were eliminated
and states applied the coverage policies
currently in effect for categorically
needy adults. The analysis was based
on a review of coverage descriptions
found in each state's Medicaid plan
and state plan amendments, current
as of April 2005.
- Government
Accountability Office (GAO).
2001. Medicaid:
Stronger efforts needed to ensure
children's access to health screening
services.
Washington, DC: Government Accountability
Office. This report examines the
extent to which children enrolled
in Medicaid are receiving EPSDT services;
efforts states have made to improve
delivery of EPSDT services, particularly
within managed care; and federal
efforts to ensure that state Medicaid
programs provide covered EPSDT services.
- Grason H, Hess C, Van
Landeghem K, Silver G, Brown B, Schor
E. 2004. Integrating
measures of early childhood health
and development into state Title V
maternal and child health services
block grant plans.
Baltimore, MD: Johns
Hopkins University.
This issue brief provides information
about measures of preventive health
and developmental services for children
from birth to age 5 and how those measures
can be integrated into MCH plans. The
brief also outlines opportunities for
partnerships between Medicaid (particularly
EPSDT) and state Title V programs.
- Hayes CD. 2004. Strategic
financing: Making the most of the
State Early Childhood Comprehensive
Systems-Building Initiative. Los
Angeles, CA: National
Center for Infant and Early Childhood
Health Policy. Building
State Early Childhood Comprehensive
Systems Series, No. 5.
This paper examines challenges that
policymakers struggle with as they
seek to finance early childhood initiatives,
highlights a set of general principles
to guide decisions concerning the
allocation and management of early
childhood funds, offers an array
of strategies for financing comprehensive
community early childhood initiatives,
and summarizes key steps to developing
and implementing successful financing
plans. EPSDT's role in delivering
and funding early childhood services
is explored. Appendices include information
on federal funding streams and list
federal funding sources by functional
activity.
- Johnson K. 2006. Maximizing
the use of EPSDT to improve the health
and development of young children.
New York, NY: National
Center for Children in Poverty.
This issue brief reviews research
about the role of EPSDT in improving
early childhood health and development
and identifies opportunities for
Early Childhood Comprehensive Systems
leaders to use EPSDT in collaborative
efforts to improve child health.
- Johnson K, Knitzer
J. 2005. Spending
smarter: A funding guide for policymakers
and advocates to promote social and
emotional health and school readiness.
New York, NY: National
Center for Children in Poverty.
This report is designed to help policymakers,
agency officials, families, and other
advocates maximize the impact of existing
funding streams, including EPSDT services,
to support positive social and emotional
development, early intervention, and
treatment strategies that can improve
school readiness.
- Keyser D, Firth R,
Richardson A, Townsend MZ. 2006. Improving
childhood blood lead level screening,
reporting, and surveillance in Allegheny
County, Pennsylvania.
Santa Monica, CA: RAND
Corporation.
This report examines the current status
of childhood blood-lead-level screening,
reporting, and surveillance in Allegheny
County, Pennsylvania, and offers recommendations
for improving these processes, including
those carried out by the EPSDT program.
- Rosman EA, Perry DF,
Hepburn KS. 2005. Best
beginning: Partnerships between primary
health care and mental health and substance
abuse services for young children and
their families.
Washington, DC: Georgetown
University National Technical Assistance
Center for Children's Mental Health.
This report features eight innovative
medical home practices that integrate
behavioral health screening for the
whole family, facilitate referrals
to community services, and offer follow-up
care to clients, many of whom are enrolled
in the EPSDT program.
- Schneider D, Hayes
KL, Crall JJ. 2005. CMS
Form-416 report: Understanding its
use in assessing dental care utilization
in Medicaid's Early Periodic Screening,
Diagnostic and Treatment (EPSDT) Service
for children.
Los Angeles, CA: National
Oral Health Policy Center.
This issue brief provides an overview
of EPSDT and Medicaid-eligible children's
ability to access oral health services;
data on children's utilization of oral
health services in Medicaid; and the
CMS Services Form-416 report, which
is the most common source of such data.
The brief outlines concerns about using
Form-416 data and derived utilization
rates and proposes additional adjustments
to Form-416 data.
- Schneider D, Crall
JJ. 2005. EPSDT
periodicity schedules and their relation
to pediatric oral health standards
in Head Start and Early Head Start.
Los Angeles, CA: National
Oral Health Policy Center.
This issue brief provides a historical
overview and analysis of the requirements
for EPSDT oral health services and
state EPSDT oral health periodicity
schedules, the problems inherent in
locating information relevant to the
periodicity of EPSDT oral health services
in current state data sources, and
the policies developed by prominent
organizations involved in providing
pediatric oral health services regarding
age of first dental visit and periodicity
of services. The brief also presents
recommendations for steps that Head
Start and Early Head Start can take
in collaboration with federal and state
agencies and professional organizations
to address these challenges and enhance
oral health care for children.
- Smith AD. 2005. Medicaid
EPSDT and AOD treatment services.
Boston, MA: Resources
For Recovery.
This policy brief examines the federal
requirements of EPSDT; explores three
states' coverage of child and adolescent
alcohol and other drug (AOD) treatment
services under Medicaid; identifies
components of state EPSDT practices
that may be applicable to other states;
and discusses considerations for
states interested in developing Medicaid-reimbursable
AOD services for children and adolescents.
- Smith PK. 2005. Enhancing
child development services in Medicaid
managed care: A best clinical and
administrative practices toolkit.
Hamilton, NJ: Center
for Health Care Strategies, Inc.
This toolkit illustrates experiences
from 11 Medicaid managed care organizations
in piloting activities to improve
early childhood screening and anticipatory
guidance, with an emphasis on preventive
pediatric care. It reviews the Best
Clinical and Administrative Practices
Quality Framework and highlights
strategies to improve the delivery
of child development services, including
early identification of developmental
disabilities, improving outreach
to members, enhancing provider partnerships,
improving reimbursement and referral
practices, and recognizing potential
returns on investment.
Distance
Learning
- Bright
Futures at Georgetown University.
Develops Web-based curricula, training
tools, and other resources for
health professionals and families
for a practical developmental approach
to providing health supervision
for infants, children, and adolescents
that support EPSDT program requirements.
Resources and initiatives include
Well-Child
Care: A Bright Futures Curriculum
for Providers in MCH and Medicaid/EPSDT
Settings.
Presents a comprehensive training
curriculum for health professionals
who provide well-child care
for infants, children, and adolescents,
especially those served by state
MCH programs or by EPSDT. This
curriculum is funded by the Maternal
and Child Health Bureau (MCHB).
HealthCheck
Provider Education System.
Offers an online curriculum and
resources for delivering and documenting
EPSDT services to Medicaid-eligible
children and adolescents in Washington,
DC. This system was developed in
collaboration with the District
of Columbia's Medical Assistance
Administration.
What
to expect and when to seek help:
Bright Futures developmental tools
for families and providers.
(2006). Based on Bright
Futures in practice: Mental health (2002),
this set of four tools aims to
help professionals and families
begin important conversations together
on how best to support the social
and emotional development of children,
from infancy through adolescence.
A companion referral
tool helps
professionals identify resources
in their own communities.
Bright
Futures in practice: Nutrition
pocket guide (2002).
Bright
Futures in practice: Oral health
pocket guide (2004).
Also see AAP's Bright
Futures: Guidelines for health
supervision of infants, children,
and adolescents, 3rd ed.
(2007).
- Developmental
Behavioral Pediatrics Online (dbpeds.org):
Introduction to Developmental and
Behavioral Screening.
Provides an online tutorial with
information about techniques for
screening children for developmental,
behavioral, and emotional problems
that can be used effectively and
efficiently in the pediatric office
setting. The tutorial includes
background information on screening,
an annotated list of screening
tools, and parent handouts.
- Managed
Care and Poor Children.
Presents a learning module about
the interaction between managed
care and children from families
with low incomes, how managed care
operates to serve children, and
how managed care programs provide
children's health services, including
EPSDT services. This module, developed
by Jane Perkins, J.D., M.P.H.,
at the University of North Carolina
at Chapel Hill School of Social
Work, is part of the Maternal and
Child Health Leadership Training
Program.
- Minnesota
Department of Health: Child and
Teen Checkups Online Training.
Contains an online training program
for health professionals and program
administrators about Minnesota's
EPSDT program. Includes a program
description, eligibility requirements,
screening schedules, and links
to materials for parents. The program
is a joint venture of the Minnesota
Department of Human Services and
the Minnesota Department of Health.
- Practical
Guide for Healthy Development.
Presents a set of six online learning
modules designed to help primary
care health professionals develop
office systems to ensure that services
provided to families are timely
and appropriate. Topics include
developmental screening and surveillance,
family psychosocial screening and
surveillance, eliciting parents'
concerns, anticipatory guidance
and parental education, and linking
with the community. The modules
were developed by the Healthy Development
Learning Collaborative and funded
by the Commonwealth
Fund.
- Promoting
Child and Adolescent Health: Bright
Futures and EPSDT.
Offers an online training program
for pediatric health professionals
to encourage the integration of
the Bright
Futures guidelines into
daily practice. The program provides
an overview of Bright Futures and
links the use of Bright Futures
teachings and tools to meeting
EPSDT requirements. The program
is sponsored by the School of Medicine,
Virginia Commonwealth University,
Medical College of Virginia Campus
and the Virginia Department of
Health.
Webcasts
and Workshops
- Enhancing
Partnerships Between Title V, Medicaid,
and Local Health Departments Through
EPSDT.
Contains an audio broadcast, slides,
and transcript from this September
2003 webcast that was sponsored
by the MCHB. The discussion featured
multiple presenters from federal,
state, and local agencies and focused
on experiences and recommendations
for improving EPSDT rates through
state and local partnerships.
- Health
Services for Children: The Role
of Medicaid and Its Benefit Package.
Contains a webcast, transcript,
agenda, speakers biographies, and
links to background material for
this September 2005 briefing about
children and Medicaid sponsored
by the Alliance
for Health Reform and
the Commonwealth
Fund.
Discussion topics include Medicaid
reform proposals and EPSDT benefits.
- State
Leadership Workshops On Improving
EPSDT: An Opportunity for MCH Leaders.
Describes a workshop available
to administrators of state Title
V Maternal and Child Health and
Children with Special Health Care
Needs programs and Medicaid programs
to foster successful coordination
between agencies regarding the
EPSDT benefit. These workshops
are sponsored by the MCHB.
Databases
The databases listed below
are excellent tools for identifying data,
additional literature
and research,
and programs about
EPSDT. Many of the entries below contain
tips on how to use the databases efficiently.
Please note that databases vary in how
terms should be entered; for example,
some require quotation marks and others
don't. Enter search phrases as shown
in bold below.
- Data
- National
Quality Measures Clearinghouse™
(NQMC).
Contains evidence-based health-care-quality-measures
and measure sets for physicians, hospitals,
and health plans to evaluate and improve
the quality of health care for consumers.
Search for measures that target a particular
disease/condition, treatment/intervention,
age range, vulnerable population, setting
of care, or contributing organization.
To identify EPSDT-related measures, enter Medicaid
AND (infants OR children OR adolescents) in
the search box. The database is sponsored
by the Agency
for Healthcare Research and Quality (AHRQ).
- Pediatric
Nutrition Surveillance System (PedNSS).
Monitors the nutritional status
of children from birth to age 5
in federally funded maternal and
child health programs, such as
EPSDT. Data on birthweight, short
stature, underweight, overweight,
anemia, and breastfeeding are collected
for those who visit public health
clinics for routine care and nutrition
services. PedNSS is administered
by the Centers
for Disease Control and Prevention
(CDC).
- State
Health Facts Online.
Contains state-level data on demographics,
health, and health policy, including
health coverage, access, financing,
and state legislation. Information
is displayed as bar graphs, tables,
or color-coded maps. View individual
state profiles or compare data
for all states by category. Click
on the Medicaid and SCHIP category
for information such as enrollment,
eligibility requirements, managed
care participation, spending and
federal matching amounts, and enrollment
practices. This system is provided
by the Kaiser
Family Foundation.
Kaiser also offers customizable state
Medicaid fact sheets.
For detailed information about
the Medicaid benefit packages in
each state, see Kaiser's Medicaid
Benefits Online Database.
- Title
V Information System (TVIS).
Contains data from annual Title
V Block Grant applications and
reports submitted by all 59 U.S.
states and jurisdictions. To identify
EPSDT-related services provided
by states, select Program
Data: Screening and Treatment Information
for Infants, Women, and Children and Program
Data: Standard Screening Tests
Performed by States.
In addition, select Program
Data: State Priority Needs Keyword
Search and
choose keywords such as Health
Screening, Immunization,
and Oral Health from the
list (each term must be searched
separately). Also select State
Performance Measures: Search By
Keyword/Population and
choose keywords such as those used
above (e.g., Health Screening).
TVIS is a service of the MCHB.
- Literature
and Research
- Maternal
and Child Health Library at
the National
Center for Education in Maternal
and Child Health (NCEMCH),
Georgetown University. Maintains
several databases to collect, manage,
and disseminate knowledge about
MCH, with special emphasis on knowledge
gained from initiatives and programs
supported by the MCHB. The library's
bibliographic database is
MCHLine®.
Comprises an online catalog of
materials in the Maternal and
Child Health Library that includes
items from the William McConway
Hiscock Collection about the federal
EPSDT program. The Hiscock collection
consists of over 100 items, primarily
reports and articles published
in the 1970s and 1980s. Search the
database for these and more recent
items by entering epsdt in
the keyword field of the search
form. To limit your search, add
a publication date range and/or
additional keywords (e.g., "head
start").
The Maternal and Child
Health Library also offers organizations
and programs databases.
- National
Guideline Clearinghouse (NGC).
Contains evidence-based clinical
practice guidelines and related
materials for health professionals.
Identify guidelines by entering Medicaid
AND (infants OR children OR adolescents) in
the Search field. The database
is an initiative of the Agency
for Healthcare Research and Quality
(AHRQ).
- PubMed.
Contains over 17 million citations
for biomedical articles that date back
to the 1950s. These citations are from
MEDLINE and additional life sciences
journals. PubMed includes links to
many sites providing full-text articles
and other related resources. To identify
citations on the topic, type Medicaid in
the search box. Click on Limits and
select Date (e.g., Published in the
last year); Ages: All Child (0-18 years);
and Tag Terms: MeSH Major Topic. PubMed
is a service of the National
Library of Medicine (NLM).
- State
Reports.
Contains a collection of reports
written by states about their health
coverage programs and expansion
strategies. Search by state and/or
enter EPSDT in the keyword
field. The database is provided
by State
Coverage Initiatives (SCI).
- Programs
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