Evaluation of EPSDT Programs in the Tape-to-Tape States. Volume 1. Synthesis ofEPSDT Case Study Reports

摘要

A part of the study of the impact of OBRA-89 on EPSDT in 4 states involved aprocess analysis which entailed site visits to the four study states during the first project year and produced the detailed case study reports presented in Volume II. Volume I synthesizes the qualitative knowledge gained through the case studies regarding how the states operate their EPSDT programs and how program policies changes as a result of the OBRA-89 legislation. The synthesis analysis provides a section of background information on how EPSDT programs generally operate in the study states, including descriptions of informing and outreach strategies, the content and delivery of EPSDT screening examinations, providers who render EPSDT screens, and the delivery of diagnostic and treatment services. Another section describes the provision of OBRA-89 that were designed to enhance the capacity of EPSDT program to service eligible children. The specific provisions include: increase in proportion of eligible children screened; ensure an adequate supply of Medicaid providers; enhance the scope and availability of EPSDT screens; and improved and the linkages between screening exams and needed diagnosis and treatment services. The study states' (Michigan, California, Tennessee and Georgia) responses to the provisions contained in OBRA-89 are summarized.