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JUST THE FACTS: Medicaid & Screenings for Children in California

Medicaid EPSDT Screenings Reference List

“EPSDT is Essential,” (March 2017), National Health Law Program: 

“EPSDT: A Primer on Medicaid’s Pediatric Benefit,” (March 2017),Georgetown Center for Children and Families: 

“EPSDT - A Guide for States: Coverage in the Medicaid Benefit for Children and Adolescents,” (June 2014), Centers for Medicare & Medicaid Services:  

Improving the Lives of Young Children: The Role of Developmental Screenings in Medicaid and CHIP,” (December 2010), Urban Institute: 


1 Page 1 of CMS, “EPSDT – A Guide for States” (June 2014), 

2 CMCS Informational Bulletin from Director Vikki Wachino, “The Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit for children and youth in managed care,” (January 5, 2017), 

3 Bright Futures/American Academy of Pediatrics, “Recommendations for Preventive Pediatric Health Care,” (updated February 2017), 

4 See Department of Health Care Services guidance: All Plan Letter 14-017 (December 12, 2014) at; Policy Letter 13-001 (October 8, 2013) at; and CHDP Provider Information Notice 16-03 (July 8, 2016) at

5 See memo from Department of Health and Human Services Office of Inspector General, “Recommendation Followup Memorandum Report: CMS Needs to Do More to Improve Medicaid Children’s Utilization of Preventive Screening Services, OEI-05-13-1-00690,” (November 12, 2014),

6 FY 2015 CMS-416 data, available at

7 According to Children Now’s analysis of FY 2015 CMS-416 data, there were a total of 288,141 blood lead tests for children under 6, and there were 1,869,419 total individuals under age 6 eligible for EPSDT. 

This factsheet was prepared by Children Now in August 2017. For more information, please contact Mike Odeh, Director of Health Policy at or 510-763-2444 x122.