Tag Archives: EPSDT

  • In Arkansas: Arkansas delivers Medicaid services through a Primary Care Case Management (PCCM) system called Arkansas ConnectCare, which has a contract with the Arkansas Department of Health and is administered by the Medicaid Managed Care Services division of the Arkansas Foundation for Medical Care. Upon enrollment in Medicaid all beneficiaries must select a primary care […]

    December 5, 2013 | Filed under: Arkansas
  • In Arizona:   As of July 1, 2011, there were 1,351,988 beneficiaries enrolled in Arizona Medicaid. Of these, 1,198,818 were enrolled in Medicaid-only managed care organizations providing physical and oral health benefits, and 124,491 were enrolled in a prepaid inpatient health plan for mental health and substance use disorders. The state Medicaid agency contracts with […]

    December 5, 2013 | Filed under: Arizona
  • EPSDT Resources to Improve Medicaid for Children and Adolescents

    About This Map Beyond the screening and preventive health services covered under EPSDT, the Medicaid benefit for children and adolescents, diagnostic and treatment services are also covered to correct or ameliorate a child’s physical or mental condition(s). In general, states must ensure the provision of, and pay for, any services, including treatment, in accordance with […]

  • In West Virginia: As of July 1, 2011, there were 326,749 beneficiaries enrolled in the state’s Medicaid program, 166,555 of whom were enrolled in one of three commercial managed care organizations through Medicaid’s Mountain Health Trust managed care program. Physical and oral health services are provided through the Medicaid MCOs; beneficiaries who do not voluntarily […]

    November 5, 2013 | Filed under: West Virginia
  • In Washington: There were a total of 1,182,587 beneficiaries enrolled in the state’s Medicaid program as of July 2011. Of these, 1,041,904 were enrolled in Washington’s Apple Health managed care program through one of eight commercial managed care organizations (MCOs). The Apple Health MCOs provide physical health services, while Medicaid dental services are offered on […]

    November 5, 2013 | Filed under: Washington
  • In Virginia:   Medicaid services are delivered primarily through several Managed Care Plans that contract with Virginia’s Medicaid program (administered by the Virginia Department of Medical Assistance Services or DMAS). The different Managed Care Plans in Virginia help beneficiaries choose a primary care provider, and provide a standard list of benefits. There were a total […]

    November 5, 2013 | Filed under: Virginia
  • In Oregon: Medicaid services are delivered primarily through 16 Coordinated Care Organizations (CCOs). The Oregon CCO is a network of all types of health care providers who have agreed to work together in their local communities to serve people who receive Medicaid coverage. (In Oregon Medicaid coverage is referred to as the Oregon Health Plan.) […]

    November 5, 2013 | Filed under: Oregon
  • In Ohio:   2,129,706 beneficiaries were enrolled in Medicaid as of July 1, 2011. Of these, 1,605,821 were enrolled in managed care through seven Medicaid-only managed care organizations (MCOs). The state has a full-risk managed care program operated under a 1932(a) State Plan Amendment. Physical and oral health services (including the EPSDT benefit) are delivered […]

    November 5, 2013 | Filed under: Ohio
  • In North Carolina: Medicaid services are delivered primarily through a primary care case management (PCCM) program that is supported by Community Care of North Carolina (CCNC), which has a contract in place with the North Carolina Division of Medical Assistance (NC DMA, state Medicaid agency). Through this contract CCNC does not bear any risk, as […]

    November 5, 2013 | Filed under: North Carolina
  • New Mexico’s Medicaid program is currently in transition. Before January 2014, physical and oral health services were provided to almost all categories of Medicaid-enrolled children and adults in the state through comprehensive managed care organizations (MCOs) under a 1915(b) waiver program known as Salud! There were a total of 551,017 beneficiaries enrolled in New Mexico […]

    November 5, 2013 | Filed under: New Mexico