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In addition, bonus payments for physicians and FQHCs will be made for timely provision of EPSDT services.
The evidence suggests that fluoride varnish treatments instituted into the medical portion of the EPSDT program could potentially reach more children; thereby reduce the incidence and related treatment costs of dental caries.
Also as noted, preventive care use could appear misleadingly low if providers did not use well-child diagnoses or bill for an identified set of EPSDT services.
We need to support EPSDT as the benefit package for children.
EPSDT benefits under Medicaid include health, mental, developmental, vision, hearing, and dental services.
You could also argue that EPSDT rates for teens are so low [in Connecticut] that we're paying too much for PCPs," she mused.
Child advocates are concerned that states will offer a "watered-down" version of Medicaid services to CHIP recipients, and want guarantees that EPSDT guidelines will be kept in place for screening and treatment, especially for children with special health care needs.
The program, which is covered by Medicaid, mandates that states provide EPSDT services to children from birth to 20 years of age.
EPSDT is key to ensuring that children and adolescents receive appropriate preventive, dental, mental health, and developmental and specialty services.
Twelve years ago, the Omnibus Budget and Reconciliation Act of 1989 addressed the need to increase participation of States in the EPSDT programs (Herz, Chawla, and Gavin, 1998).
Where the local department of human services has provided Medicaid eligibility workers/case managers to a SBPCC, it expects to benefit from improved rates of Medicaid certification for eligible adolescents and improved rates of EPSDT compliance.
The NCQA recommended performance measure of a "dental visit" suggests that every child enrolled in EPSDT who is 1 year of age or older should have an annual dental visit.