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EPSDT's Role in Improving Child Vision, Hearing, and Oral Health

Published online by Cambridge University Press:  01 January 2021

Abstract

The Medicaid Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit offers health care coverage specifically targeted to meet the needs to low-income children and children with disabilities. This article provides a brief overview of EPSDT and then discusses how states are working to bring vision, hearing, and oral health services to children through EPSDT.

Type
Symposium Articles
Copyright
Copyright © American Society of Law, Medicine and Ethics 2017

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References

Ruiz, S., Centers for Medicare & Medicaid Services, Division of Quality and Health Outcomes, “Ensuring Access to Vision, Hearing and Oral Health Care,” Remarks at the Public Health Law Conference, September 17, 2016.Google Scholar
See 42 U.S.C. §§ 1396a(a)(10)(A), 1396a(a)(43), 1396d(a)(4) (B), 1396d(r).Google Scholar
See H.R. Rep. No. 101-247, at 399 (Sept. 20, 1989), reprinted at 1989 U.S.C.C.A.N. 1906, 2125; see also CMS, State Medicaid Manual § 5240.Google Scholar
42 U.S.C. § 1396a(a)(43)(C).Google Scholar
Id. § 1396d(r)(5) (referring to 42 U.S.C. § 1396d(a)).Google Scholar
Stanton v. Bond, 504 F.2d 1246, 1251 (7th Cir. 1974).Google Scholar
See 42 U.S.C. § 1396a(a)(43)(A).Google Scholar
CMS, EPSDT — A Guide for States: Coverage in the Medicaid Benefit for Children and Adolescents at 1 (June 2014), available at <https://www.medicaid.gov/medicaid/benefits/downloads/epsdt_coverage_guide.pdf> (last visited January 23, 2017) (hereinafter EPSDT-A Guide for States).+(last+visited+January+23,+2017)+(hereinafter+EPSDT-A+Guide+for+States).>Google Scholar
Perkins, J. and McKee, C., National Health Law Program, Vision Services for Children on Medicaid: A Review of EPSDT Services (May 11, 2015), available at <http://www.healthlaw.org/publications/browse-all-publications/vision-screening-epsdt#.WAY7dyTYGac> (last visited January 23, 2017) (hereinafter Vision Services for Children on Medicaid).+(last+visited+January+23,+2017)+(hereinafter+Vision+Services+for+Children+on+Medicaid).>Google Scholar
42 U.S.C. § 1396d(r)(2); see also, e.g., CMS, EPSDT-A Guide for States, supra note 9, at 15-16.Google Scholar
See Vision Services for Children on Medicaid, supra note 10, at 14-15.Google Scholar
Network for Public Health Law & National Health Law Program, Model Medicaid Managed Care Contract Provisions: EPSDT Vision and Hearing Services at 8 (May 14, 2015), available at <https://www.networkforphl.org/_asset/700x9x/SURVEY_MEDICAID_MANAGED_CARE_CONTRACTS.pdf (last visited January 23, 2017) (hereinafter Model Medicaid Managed Care Contract Provisions).Google Scholar
See Vision Services for Children on Medicaid, supra note 10, at 19.Google Scholar
McKee, C. and Perkins, J., National Health Law Program, Hearing Services for Children on Medicaid: A Review of EPSDT Services 1-2 (October 20, 2014), available at <http://www.healthlaw.org/publications/Issue-brief-hearing-services-for-children-on-medicaid#.WAZCsyTYGac> (last visited January 23, 2017) (hereinafter Hearing Services for Children on Medicaid).+(last+visited+January+23,+2017)+(hereinafter+Hearing+Services+for+Children+on+Medicaid).>Google Scholar
42 U.S.C. § 1396d(r)(4); see also, e.g., CMS, EPSDT — A Guide to States, supra note 9, at 14-15.Google Scholar
See Hearing Services for Children on Medicaid, supra note 15, at 14.Google Scholar
Model Medicaid Managed Care Contract Provisions, supra note 13, at 25.Google Scholar
CMS, Keep Kids Smiling: Promoting Oral Health through the Medicaid Benefit for Children & Adolescents (September 2013), at 5 (on file with author).Google Scholar
42 U.S.C. § 1396d(r)(3).Google Scholar
CMS, EPSDT-A Guide for States, supra note 9, at 13.Google Scholar
Iowa Department of Public Health, “Maternal and Child Health Dental,” available at <http://www.idph.iowa.gov/ohds/oral-health-center/maternal-child-dental> (last visited January 23, 2017). Title V, the nation's oldest federal-state partnership program, is authorized by 42 U.S.C. § 701 et seq.+(last+visited+January+23,+2017).+Title+V,+the+nation's+oldest+federal-state+partnership+program,+is+authorized+by+42+U.S.C.+§+701+et+seq.>Google Scholar
Booth, M., Executive Director, Children's Dental Health Project, “Ensuring Access to Vision, Hearing & Oral Health Care,” Remarks at the Public Health Law Conference, September 17, 2016.Google Scholar
CMS, “Vision and Hearing Screening Services for Children and Adolescents,” available at <https://www.medicaid.gov/medicaid/benefits/epsdt/v-and-h/index.html> (last visited January 23, 2017).+(last+visited+January+23,+2017).>Google Scholar
CMS, Dear State Medicaid Director Re: Medicaid Payment for Services Provided without Charge (Free Care) (SMD#14-006), December 15, 2014, available at <https://www.medicaid.gov/federal-policy-guidance/downloads/smd-medicaid-payment-for-services-provided-without-charge-free-care.pdf> (last visited January 23, 2017).+(last+visited+January+23,+2017).>Google Scholar