Bar graph showing percentage of adolescents receiving screening from 2016-2021. General EPSDT screening fluctuates between roughly 52% and 60%. BH EPSDT screening is significantly lower, ranging from approximately 8% to 21%.

Among >1.5 million New York adolescents on #Medicaid, #BehavioralHealth screening rates under #EPSDT were about one-third those of general screening, with wide variation across managed care plans and poor alignment with state quality ratings.

ja.ma/4lWIHP5

Rate Change for EPSDT Interperiodic Evaluation and Management (E&M) Procedure Codes [Medicaid] Effective for dates of service on and after October 1, 2023, there will be a rate change for the below listed EPSDT Interperiodic Evaluation and Management (E&M) procedure codes with the EP modifier.

AL. State Agencies:Alabama News Beacon #Medicaid #EPSDT #HealthcareUpdates #ALMedicaid #RateChange

Specialist Referrals Not Required by Alabama Medicaid [Medicaid] On June 1, 2023, Alabama Medicaid resumed the EPSDT referral requirement for EPSDT visits. Once a child has an EPSDT screening, all subsequent visits to other providers for further diagnosis or treatment must have a written referral (Form 362) from the EPSDT screening provider.

AL. State Agencies:Alabama News Beacon #AlabamaMedicaid #EPSDT #Healthcare #ChildHealth #MedicaidReform

Rate Increase for EPSDT Periodic Evaluation and Management (E&M) Procedure Codes [Medicaid] Effective July 1, 2025, the Alabama Medicaid Agency (Medicaid) will increase the reimbursement rates for certain EPSDT Periodic Evaluation and Management (E&M) procedure codes.

AL. State Agencies:Alabama News Beacon #Medicaid #EPSDT #Healthcare #Alabama #ReimbursementRates

Updated EPSDT Referral Form 362 [Medicaid] Effective May 27, 2025, the Alabama Medicaid Agency (Medicaid) has updated the Early, Periodic, Screening, Diagnostic, and Treatment (EPSDT) Referral Form 362, including a revised pdf fillable version. These forms are now available on Medicaid’s website at the following locations:

AL. State Agencies:Alabama News Beacon #Medicaid #EPSDT #AlabamaMedicaid #HealthCare #PublicHealth

Services: Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) - National Health Law Program The Medicaid Act includes provisions designed to ensure quality care and services for more than 30 million children, including…

Medicaid’s EPSDT benefit gives 30 million children access to preventive care and services for healthy development. NHeLP protects these rights, ensuring kids get the care they need. Learn more: healthlaw.org/services/eps... #Medicaid #EPSDT #ChildHealth