Medicaid Early and Periodic Screening, Diagnostic, and Treatment benefit

E286589

The Medicaid Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit is a comprehensive child health program under Medicaid that guarantees eligible children and adolescents regular preventive care, screenings, and all medically necessary services to address identified health conditions.

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How this entity was disambiguated

Statements (47)

Predicate Object
instanceOf Medicaid benefit ⓘ
child health program ⓘ
preventive health benefit ⓘ
abbreviation EPSDT ⓘ
administeredBy U.S. state Medicaid agencies ⓘ
ageRange birth through age 20 ⓘ
appliesTo mandatory Medicaid eligibility groups for children ⓘ
beneficiaryRight entitlement to all covered medically necessary services within its scope ⓘ
component Diagnostic ⓘ
Early ⓘ
Periodic ⓘ
Screening ⓘ
Treatment ⓘ
country United States ⓘ
coverageStandard medically necessary to correct or ameliorate defects and physical and mental illnesses and conditions ⓘ
distinctFrom standard adult Medicaid benefit packages ⓘ
financing jointly financed by federal and state governments ⓘ
focus comprehensive and preventive pediatric health care ⓘ
timely diagnosis and treatment of identified conditions ⓘ
includesServiceType dental services ⓘ
developmental screenings ⓘ
hearing services ⓘ
home health services ⓘ
immunizations ⓘ
laboratory tests ⓘ
medically necessary transportation ⓘ
mental health services ⓘ
preventive health services ⓘ
rehabilitative services ⓘ
substance use disorder services ⓘ
vision services ⓘ
isMandatoryFor all state Medicaid programs ⓘ
legalBasis Section 1905(r) of the Social Security Act ⓘ
Title XIX of the Social Security Act ⓘ
overseenBy Centers for Medicare & Medicaid Services ⓘ
partOf Medicaid ⓘ
policyGoal to reduce long-term disability and disease burden in low-income children ⓘ
purpose to ensure access to medically necessary services to correct or ameliorate health conditions ⓘ
to ensure early identification of health problems in children and adolescents ⓘ
relatedProgram Children's Health Insurance Program ⓘ
requires arranging for corrective treatment when conditions are identified ⓘ
informing eligible families about EPSDT services ⓘ
interperiodic screenings when medically necessary ⓘ
periodic screening schedules ⓘ
scopeOfCoverage may exceed services covered for adult Medicaid beneficiaries ⓘ
targetPopulation Medicaid-enrolled adolescents ⓘ
Medicaid-enrolled children ⓘ

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Referenced by (1)

Full triples — surface form annotated when it differs from this entity's canonical label.

Vaccines for Children Program → relatedTo → Medicaid Early and Periodic Screening, Diagnostic, and Treatment benefit ⓘ