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Keeping Medicaid’s Promise: Strengthening Access to Services for Children With Special Healthcare Needs

10.2019 / By Manatt Health

This issue brief examines how state Medicaid agencies, families, advocates, providers and other stakeholders can partner to improve access to services for Medicaid-enrolled children with special health care needs.

This brief includes a review of the complex and diverse challenges faced by children with special health care needs; insights into Medicaid’s commitment to children, including an overview of  Early and Periodic Screening, Diagnostic, and Treatment (EPSDT), with a detailed look at Medicaid’s unique definition of medical necessity for children; eight best-practice strategies state Medicaid agencies can implement to improve access to health care for children with special health care needs; and real-world examples of innovative initiatives states are executing to enhance services, screening, communication, care coordination, and monitoring for children with special health care needs and their families.