Question

Describe EPSDT and state its purpose. Choose three EPSDT requirements and describe why they are mandated. What consequences will a state face for failure to provide EPSDT services to Medicaid recipients?

Answer 1

EPSDT(Early and Periodic Screening,Diagnosis and Treatment is a federal policy for child health.It is covered in Medicaid.Medicaid spends 20 to 2t% of its costs to children.The children's who are under 21 years,low Inc one children are usually covered in this scheme.It covers immunization, dental care,mental health services,heating test .If a diagnostic test under EPSDT is positive or borderline further confirmation and the entire cost has yo be neared bybthe Medicaid. CMS 416 form to be filled by the parents every year.

The main purpose of this is to screen and detect illness innthe children earlier and provide treatment, prevent disabilities  and they can have a healthier life.

Some of the requirement of EPSDT are

• It requires the state to pay for whatever the treatment incurred for the child in Medicaid.It is mandated to reduce the expenses done by the family of low income
• It is essential to report or inform the parents to screen the child as per the schedule to reduce major deformities in the future
• Itbis required to do health creaming as a whole periodically as per the requirements and scan for high risk cases.

When a state doesn't provide or submit the CMS form 416 to the federal government they are not penalized bybthe CMS.This is because the data submitted are not used to its full potential.The root cause for this poor funding .The federal funding for Medicaid has been greatly reduced which has an impact on EPSDT.