US Department of Health and Human Services official site for resources regarding Medicare, Medicaid and SCHIP.
US Department of Health and Human Services official site that provides materials of interest to various audiences regarding SCHIP, also known as Title XXI, as part of the Balanced Budget Act of 1997 including legislative and regulatory guidance.
Early Periodic Screening Diagnosis and Treatment (EPSDT)
- EPSDT and Title V Collaboration to Improve Child Health EPSDT: The Early Periodic Screening, Diagnosis, and Treatment (EPSDT) Program is the child health component of Medicaid. It's required in every state and is designed to improve the health of low-income children, by financing appropriate and necessary pediatric services. This website provides information about how EPSDT works with public health, families, managed care organizations, pediatricians, and other health providers.
- Accessing EPSDT for Part C Services (2011)
- Considerations When Accessing Medicaid Early Periodic Screening Diagnosis and Treatment (EPSDT) for Part C Services (2010), ITCA
- Texas EPSDT Developmental Rehabilitation Services includes diagnostic, evaluative and consultative services for the purposes of identifying or determining the nature and extent of, and rehabilitating an individual's medical or other health-related condition.
A Medicaid waiver is when the Federal Government allows or grants States permission to waive certain Federal requirements in order to operate a specific kind of program. In general, Federal law allows States to enact two types of Medicaid waivers: Program waivers and research and demonstration waivers.
Program Waiver: Home and Community Based Waivers
- Maryland: Services for autistic children and seriously emotionally disturbed individuals.
- Montana: §1915(c) HCB waiver designed to serve young children aged 15 months through seven years who are diagnosed with Autism Spectrum Disorder and who have deficits in adaptive behaviors.
- North Dakota: Waiver for case management, homemaker service, personal care, respite care, habilitation.
- Pennsylvania: CMS Waiver to provide community habilitation, respite, service management, transportation, therapy and visiting nurses, permanency planning service, and physical adaptations.
- Wisconsin: Payment by Medicaid for eligible children when use of private insurance is denied by the parent.