Common use of Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Services Clause in Contracts

Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Services. The Omnibus Budget Reconciliation Act of 1989 (OBRA 89) mandated that all Medically Necessary services listed in section 1905(a) of the Social Security Act be covered under Medicaid for the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) benefit provided for Medicaid eligible children under the age of twenty-one (21). EPSDT services are included in the prepaid benefit package for children and adolescents up to age twenty-one (21). The federal government, through the Centers for Medicare and Medicaid Services (CMS), requires states to demonstrate an eighty percent (80%) compliance rate for EPSDT screening schedules. MCOs are required to: 1. Provide notification of screening due dates;

Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Services. The Omnibus Budget Reconciliation Act of 1989 (OBRA 89) mandated that all Medically Necessary services listed in section 1905(a) of the Social Security Act be covered under Medicaid for the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) benefit provided for Medicaid eligible children under the age of twenty-one (21). EPSDT services are included in the prepaid benefit package for children and adolescents up to age twenty-one (21). The federal government, through the Centers for Medicare and Medicaid Services (CMS), requires states to demonstrate an eighty percent (80%) percent compliance rate for EPSDT screening schedules. MCOs are required to: 1. Provide notification of screening due dates;