Medicaid Early and Periodic Screening, Diagnostic, and Treatment benefit

E286589

Medicaid benefit child health program preventive health benefit

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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All labels observed (1)

Label	Occurrences
Medicaid Early and Periodic Screening, Diagnostic, and Treatment benefit canonical	1

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 of America ⓘ surface form: 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 ⓘ

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 ⓘ