Hiscock Historical Collection

This guide describes an Early and Periodic Screening, Diagnosis and Treatment (EPSDT) subssystem for the Medicare Management Information System (MMIS) designed to cover the many EPSDT program functions that are different than those of Medicare. It includes the general system plan, an implementation plan, a training guide outline, and a user manual outline. Introductory information includes an executive summary of a system developed for California's Child Health and Disability Prevention Program and a summary of an assessment of the Iowa, Missouri, Oklahoma and Virginia EPSDT subsystems.

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This report describes the problem of broken medical appointments, findings from a literature review and other EPSDT programs, demonstrated approaches to reducing broken appointments, findings from site visits, recommendations, and ways of minimizing the impact of residual broken appointments.

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This interim report covers the first nine months of a two-year study of data collected by the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program in southeastern Pennsylvania, dealing primarily with a description of a large secondary data set. It describes the program, eligibles and clients, and providers. Also included are a project abstract, a review of some of the relevant literature on other studies of EPSDT projects, and the research design.

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This report describes an assessment of case management systems in Iowa, Missouri, Oklahoma, and Virginia.

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This final report describes technical assistance in case management provided to Ohio and Illinois. It discusses analysis of contract effectiveness, approach used to provide technical assistance and recommendations for future activities.

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This report describes a project to assist a Mexican-American neighborhood health clinic in providing community outreach, follow-up, and health education services to low-income clients in a Mexican-American neighborhood on the west side of San Antonio, Texas. Appendix B is lacking in the library copy.

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This report presents a conceptual design for a model automated EPSDT case management system for the state of California, designed to be a county-operated system supported by various state systems. It describes the purpose of the system, the activities performed in developing the conceptual design, system requirements, features and operation, outputs, interfaces, and implementation issues and requirements.

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This report describes the cost impact of EPSDT on the utilization and expenditures for medical services under Medicaid and on total Medicaid expenditures in North Dakota during the demonstration phase.

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This report describes the status of Child Health Assurance Programs (CHAP) in the state of New York and presents a plan of assistance for their case management system. Descriptions of four local programs are included.

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This report describes enhancements recommended for the Ohio Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program, including data elements, data collection, and data processing.

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This report provides a description and proposed enhancements to the case management system of Illinois' Medichek program. Areas covered are: outreach, screening, referral, diagnosis and treatment, and interfaces. The impact of proposed enhancements are also discussed.

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This report provides program planners for child health assessment programs data about the Medicaid treatment expenditures paid in behalf of children screened and referred for treatment under the Title XIX Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. The states covered were Texas, Michigan, Iowa, Tennessee and California. Topics include the methodology of the project; the impact of EPSDT referrals on overall medicaid costs for children under 21; analysis of children with high cost conditions in their Medicaid files; and screen-related costs.

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This document provides data related to several EPSDT studies in Iowa, Mississippi, New Jersey, Montana, Utah, Virginia, Louisiana, and California.

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This report describes a comprehensive evaluation of the state-of-the-art operational facilities in Louisiana regarding EPSDT reporting and tracking capabilities. It includes requirements, system description, resources, and implementation.

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This paper categorizes state and local Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program concerns regarding compliance and planning, addressing the extent to which EPSDT has been implemented and basic evaluation issues of project administrators. The paper discusses a data classification system to evaluate a wide range of EPSDT activities.

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This document presents the results of a conference to examine state and local planning issues in their Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) programs and to refine these issues so they reflect the concerns of state and local project administrators.

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This report describes inplace efforts of Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) porgrams in eight states, what data are being recorded and stored, and what uses are being made of this data for monitoring, evaluation, and planning. The eight states reviewed were Florida, Illinois, Louisiana (New Orleans), New York State, Oklahoma, South Carolina, Texas, and Washington State. The report is designed to serve as the focus for the development of an evaluation model based on a concept of data classification which will permit state data files to be accessed for evaluative purposes.

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This report describes a study to determine the degree to which children with problems found in screening subsequently reached treatment. The states surveyed were California, Georgia, Iowa, Michigan, Ohio, Pennsylvania, Tennessee, and Texas, as well as the Commonwealth of Puerto Rico.

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This evaluation of the Child Health Assurance Program (CHAP) in New York State focuses on four counties (Chemung, Herkimer, Nassau, and Onondaga). It provides a descriptive analysis and discusses issues that affect EPSDT/CHAP implemention. The second volume contains a bibliography and case studies of the four counties. [Library copy lacks chapters IV-IX.]

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These 11 documents report on technical assistance to help states overcome barriers to full implementation of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. Topics include program management, program monitoring and evaluation, transportation, resource identification, notification of eligibles, outreach, case management and follow-up, screening, and data systems. Volumes cover (1) project introduction; (2) program update, California, Colorado; (3) Connecticut, Georgia, Hawaii; (4) Kentucky, Louisiana; (5) Maryland, North Carolina; (6) California, Colorado, Hawaii, Louisiana; (7) Maryland, Minnesota, North Dakota, Pennsylvania, Washington; (8) Maryland; (9) Maryland, Colorado, Hawaii; (10) Maryland, Hawaii, California; and (11) Minnesota, New Orleans, Colorado, Washington.

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This report describes an evaluation of the Pennsylvania EPSDT Program effectiveness and efficiency, with a discussion of the program replication feasibility, including an inventory of best practices, alternate program implementation options and relevant constraints.

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This report describes a technical assistance project to help state and local EPSDT programs in effectively meeting minimum standards in relation to an EPSDT penalty provision of 1973 and in achieving the goals established by the states for their own EPSDT programs. The project also involved needs assessment and recommendations for further program development. The states were California, Colorado, Hawaii, Louisiana, Maryland, Minnesota, North Dakota, Pennsylvania, and Washington.

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The abridged version provides a synopsis of key events, description of key products, efficacy of assistance, and a brief addendum about Virginia. Appendices provide recommendations for reorganizing child health services and a proposed case management system conceptual design for the New Jersey EPSDT program. The full report has additional appendices: the New Jersey EPSDT program description and needs assessment; and Virginia EPSDT program description, problem analysis, and proposed plan for technical assistance.

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This report defines the functional system requirements of a case management support system for the Child Health Assurance Program (CHAP) in New York State.

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This report describes a project to make available to local human service agency directors, county managers, locally elected officials and Department of Human Resources personnel the tools and information needed to undertake objective human service planning for Title XX (Social Services Block Grant) and other services in North Carolina. It describes goal-oriented planning as a method for setting agency budgets.

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This report discusses a study to examine ways and means of enlisting increased interest, support, and effective participation of professional health care providers in the implementation of the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program. It discusses findings of the study, the study methodology, issues reported by state, and regional medical consultant activity.

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This resource guide was prepared to help state and local agencies in Massachusetts enlist provider support and stem attrition among participating providers. It describes a marketing approach and plan for provider recruitment and retention and provides a training package. It includes a needs assessment questionnaire, common questions and answers, a focus group interview guide, and a review of the literature on physician participation in Medicaid and EPSDT.

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This report describes a study by the Southern Governmental Monitoring Project that examined the implementation of EPSDT in 23 communities in the eleven southern states since it was authorized in 1967. Recommendations for improvement are included.

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This report describes the findings of an assessment of California's Medi-Cal program, including an overview, problem areas, and recommendations for solutions and/or improvement. Topics include administration and management; eligibility; provider relations; reimbursements; Early and Periodic Screening, Diagnosis and Treatment (EPSDT); utilization control; claims processing; third party liability; long term care; family planning; and prepaid health plans and health maintenance organizations.

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This paper discusses policy implications of the first interim report of a study of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program in southeastern Pennsylvania in the areas of (1) whether data systems for performance measures are comparable and meaningful across state programs; (2) to what extent do demographics of the eligible population affect program performance and appropriate standards; (3) to what extent can demographic characteristics of the eligible population help orient programs; (4) whether current program performance measures can be used to compare programs to a standard or to each other; (5) is EPSDT screening detecting any serious problems not already known; (6) what demographic differences exist between those eligible and those screened; (7) whether those contacted by outreach workers are representative of all eligibles; (8) whether casefinding activities are influenced by the environment in which they are carried out; (9) and whether rates of abnormal conditions found in screening are exceptionally high or low in any area.

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This first issue of the EPSDT in Action series is designed as technical assistance to share best practices among states' Early and Periodic Screening, Diagnosis and Treatment programs. It summarizes these features of the South Carolina program: organization, management, and administration; planning, policy development and program implementation; definition, identification, and notification of eligibles; case management/tracking system; screening package and periodicity; organization of clinic services; provider resources for diagnosis and treatment; dental treatment; reimbursement mechanism/program costs; transportation; and evaluation.

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This plan discusses the importance of well child health assessments, studies that have been conducted to evaluate its effectiveness, and a proposed study to evaluate well child assessments in Contra Costa County, California.

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This training package on the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program is designed for use by welfare personnel within the states of California and Hawai as a resource for trainers and supervisors of health and social service employees involved in the delivery of EPSDT servicesi. It covers what EPSDT is; why it was enacted; a brief history; what screening is; the importance of diagnosis and treatment; the special issues in EPSDT, illustrations of client contact; and a checklist.

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This report describes technical assistance activities related to data systems at EPSDT programs in Roosevelt Hospital (New York) and South Carolina.

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Georgetown University Center for Child and Human Development
Box 571485 Washington, DC 20057-1485

Telephone: (202) 687-5503
Secondary Telephone: (202) 687-5000
Fax: (202) 687-8899
E-mail: gucdc@georgetown.edu
Website: http://gucchd.georgetown.edu
Available from the website.

This September 2000 site visit report describes a foster care child health and disability prevention program in San Diego, California to increase access to and utilization of health care services and resources. Chapters include an overview; background and context of the California Child Health and Disability Prevention (CHDP) foster care program; the program's implementation process and components including coordination of care, management of data and information, funding, family involvement, and cultural competence; and program strengths, challenges and barriers, essential elements, features unique to San Diego County, and future directions. Special topics include the role of public health nurses in foster care and the health and education passport, a set of records on children's medical, psychological, and dental information. The appendices provide information on the site visit interviews and source documents from the program that are available. [Funded in part by the Maternal and Child Health Bureau]

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This report describes a project undertaken in three inner-city elementary schools in Cincinnati to add medical care to an existing social health services program, to address school adjustment difficulties and potentially health-threatening conditions of primary-grade (K-third grade) children. It describes outreach methods, a health problem referral system, a two-year follow-up on change in health status, the impact of EPSDT screenings on provider visits, health problems as predictors of school functioning, costs associated with the demonstration project, service implications, and objectives and project accomplishments.

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This report describes the project accomplishments and program benefits of a project to demonstrate that upgrading state and local systems could result in improvement in information required for evaluation and planning of Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) programs.

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This report provides an update on the Colorado Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program, with a description of technical assistance provided and recommendations. Appendices include (A) a summary of Colorado EPSDT Advisory Committee conferences; (B) worksheets; (C) Colorado program manual; (D) Developing the Colorado EPSDT Program; (E) case management working paper; (F) tracking and reporting forms; (G) Department of Health proposal to provide case management to eligible EPSDT families; (H) performance criteria and requirements; and (I) Implementing Colorado EPSDT case management.

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This report provides updates on Kentucky's Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program. It describes program activities, problem analysis, technical assistance activities, and recommendations.

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This report provides updates on Minnesota's Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program. It describes the status of the program, technical assistance provided, and recommendations. Appendices include: (A) Minnesota provider relations strategy ; Appendix; (B) Developing the Minnesota Early and Periodic Screening, Diagnosis and Treatment Program; and (C) Comparative study design for the analysis of health status and the medical care utilization behavior of medical assistance EPSDT and non-EPSDT recipients.

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This document contains results of interviews conducted with EPSDT officials in Arkansas and North Dakota.

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This field site visit report contains results of interviews with Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program officials in Illinois and Tennessee. It provides an overview of each program.

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This study reviewed ten years of national experience with EPSDT as a means of identifying issues concerning the proposed Child Health Assessment Program (CHAP) legislation considered by Congress in 1978, looking at EPSDT in terms of its potential for providing a continuum of integrated services and EPSDT as potential managers of child health care in the states. Volume I contains a literature review, provider organization interviews, state site interviews, and a state EPSDT mail survey.

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This study reviewed ten years of national experience with the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program as a means of identifying issues concerning the proposed Child Health Assessment Program (CHAP) legislation considered by Congress in 1978, looking at EPSDT in terms of its potential for providing a continuum of integrated services and EPSDT as potential managers of child health care in the states. Volume II contains the provider organization interview responses and state site visitation interview responses.

This study reviewed ten years of national experience with the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program as a means of identifying issues concerning the proposed Child Health Assessment Program (CHAP) legislation considered by Congress in 1978, looking at EPSDT in terms of its potential for providing a continuum of integrated services and EPSDT as potential managers of child health care in the states. Volume III contains a compilation of abstracts produced from the literature review conducted during the course of this study.

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This report presents a review of the literature on the evaluation of dental programs.

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California Department of Mental Health
1600 Ninth Street, Room 151
Sacramento, CA 95814

Telephone: (800) 896-4042
Secondary Telephone: (800) 896-2512
Fax: (916) 654-3198
E-mail: dmh.dmh@dmh.ca.gov
Website: http://www.dmh.ca.gov/
Available from the website.

This report presents the findings of the Sacramento, California, Department of Mental Health's (DMH's) field audits of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) benefit. The report also provides data and information about other analyses of EPSDT expenditures by DMH to determine if county mental health plans are using the services appropriately. In addition to an executive summary, the report includes an issue statement, background, the objective, findings, implementaiton information, and a conclusion. Six attachments are included: a roster of committee members, a protocol section, the methodology, and a policy directive, code of regulations, and documenty standards for client records.

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This report describes an effort undertaken to demonstrate the viability of a federal evaluation strategy predicated on the improvement of data systems presently in operation at state and local levels, involving reporting CHAP data (New York State EPSDT program) to the city and state as well as meeting Title V (Bureau of Community Health Services) demands without adding new forms or data to be collected. The report describes background information on Roosevelt Hospital pediatric services and existing pediatric information, and the hospital's development of an automatic reporting capability and evaluation reports.

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This report describes the mechanics of Minnesota's EPSDT program works, including administrative services, mental health screening protocol, data and treatment and proposed recommendations to improve the effectiveness of the state's administrative services and mental health screening protocol of the EPSDT program.

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