Children’s Health and Well-Being Get Much Needed Attention from CMS this Week

CMS made three big announcements yesterday, drawing attention to ways Medicaid and CHIP can support children’s health and well-being. The first two announcements are sub-regulatory guidance documents, essentially bringing together all of the existing state options and best practices on behavioral health and school-based health. Sub-regulatory guidance doesn’t include new policy, but rather aims to […]

Bipartisan Safer Communities Act Provision Directs CMS to Review State EPSDT Implementation, including in Managed Care

Last month my colleague Anne Dwyer summarized the now-enacted Bipartisan Safer Communities Act and its provisions with potential to boost access to mental health services for children and families. One we will be watching closely: a review of state Medicaid EPSDT requirements, services, and practices. Long time Say Ahhh! Readers know that Medicaid’s Early Periodic […]

CMS Affirms States Must Cover Stand-Alone Vaccine Counseling under EPSDT, More Work to Be Done

As families and parents across the country eagerly await approval of the COVID-19 vaccine for children under 5, new guidance from CMS reaffirms that states must cover stand-alone vaccine counseling for children covered by Medicaid under EPSDT. According to guidance released last week, CMS reiterates that under Medicaid’s Early and Periodic Screening, Diagnostic, and Treatment […]

Oregon’s Waiver Proposal: Continuous Eligibility for Young Children as a School Readiness Tool, But Why Not EPSDT?

As my colleagues blogged last week, Oregon released its 1115 waiver proposal for state public comment, which included precedent-setting concerns and innovations. We were pleased to see multi-year continuous eligibility included—up to five years for children under age 6, and two years for ages 6 and older. While a few states are in various stages […]