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Understanding the Early and Periodic Screening, Diagnostic and Treatment Benefit National Collaborative on Education and Health Welcome National Collaborative on Education and Health Thanks to Our Supporters National Collaborative on


  1. Understanding the Early and Periodic Screening, Diagnostic and Treatment Benefit National Collaborative on Education and Health

  2. Welcome National Collaborative on Education and Health

  3. Thanks to Our Supporters National Collaborative on Education and Health

  4. Healthy Students, Promising Futures Learning Collaborative “Our Story” Launched in 2016 by: • U.S. Department of Education (ED) • U.S. Department of Health and Human Services (HHS) Support and current leadership from: • Healthy Schools Campaign (HSC) • Trust for America’s Health (TFAH) National Collaborative on Education and Health

  5. 15 Participating State Teams National Collaborative on Education and Health

  6. Early and Periodic Screening, Diagnostic and Treatment Benefit National Collaborative on Education and Health

  7. Today’s Speakers • Lindsey Wilde, Analyst, Division of Benefits and Coverage within the Disabled and Elderly Health Programs Group in Medicaid • Marguerite Schervish, Technical Director, Division of Benefits and Coverage within the Disabled and Elderly Health Programs Group in Medicaid National Collaborative on Education and Health

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  10. • • • 1967 EPSDT added to Today 40 million Medicaid children and youth Ominbus Budget Reconciliation Act ’89 4

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  16. Mandatory Benefits Optional Benefits • Inpatient hospital services • Prescription Drugs • Outpatient hospital services • Clinic services • Physical therapy • EPSDT: Early and Periodic Screening, • Occupational therapy Diagnostic, and Treatment Services • Speech, hearing and language disorder services • Nursing Facility Services • Respiratory care services • Home health services • Other diagnostic, screening, preventive and rehabilitative services • Physician services • Podiatry services • Rural health clinic services • Optometry services • Federally qualified health center services • Dental Services • Laboratory and X-ray services • Dentures • Family planning services • Prosthetics • Nurse Midwife services • Eyeglasses • Certified Pediatric and Family Nurse • Chiropractic services Practitioner services • Other practitioner services • Freestanding Birth Center services (when • Private duty nursing services licensed or otherwise recognized by the • Personal Care state) • Hospice • Transportation to medical care • Case management • Tobacco cessation counseling for pregnant • Services for Individuals Age 65 or Older in an Institution for Mental Disease women (IMD) • Services in an intermediate care facility for Individuals with Intellectual Disability • TB Related Services • Inpatient psychiatric services for individuals under age 21 • Other services approved by the Secretary* 10

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