Pediatric Medical Necessity: EPSDT, CHIP, and Children’s Health Coverage in the Era of Health Reform

This state-only webinar presented by NASHP with support from the Commonwealth Fund and the David and Lucile Packard Foundation for EPSDT and CHIP program administrators provided participants with an opportunity to learn more about the concept and legal definitions of pediatric medical necessity and to talk with their peers about implementation of pediatric necessity within Medicaid/EPSDT and CHIP programs. It also addressed working with stakeholders to develop the pediatric medical necessity definition.

Moderated by Neva Kaye, Senior Program Director, and Catherine Hess, Senior Program Director, National Academy for State Health Policy.

Agenda

The speakers were:

• Anne Markus, PhD, JD, Assistant Dean for Academic Affairs and Associate Professor of Health Policy at George Washington University
  A Legal and Policy Overview on Pediatric Medical Necessity
• Cathy Caldwell, Director of the Bureau for Children’s Health Insurance in the Alabama Department of Public Health
  Pediatric Medical Necessity and CHIP

• Marti Cote, RN, Social Services Program Specialist at the Nevada Division of Health Care Financing and Policy
  Lessons from Nevada

• David Kelly, MD, MPA, Medical Director of the Pennsylvania Office of Medical Assistance Programs
  Pediatric Medical Necessity in EPSDT