EPSDT
Over two million children under the age of 21 have received comprehensive preventive health
services through the programs we have administered.
Since the late 1970s, AHS' overall goal has been the promotion of health. The pursuit of
this goal has been manifested in the development, implementation, and management of
quality EPSDT programs for Medicaid eligible infants, children, and adolescents. Over
two million children under the age of 21 have received comprehensive preventive health
services through the programs we have administered in six states.
| AHS' EPSDT Contracts |
| Time Period |
Location |
Contracting Agency |
Program |
| 1979 - 1985 |
Maryland |
Department of Health and Mental Hygiene |
EPSDT consumer outreach and appointment scheduling
|
| 1980 - 2010 |
Pennsylvania |
Department of Public Welfare |
EPSDT program administration (provider and consumer outreach, appointment scheduling, tracking, etc.)
|
| 1982 - 1987 |
Pennsylvania |
PA Department of Health |
Childhood Lead Poisoning Prevention Project
|
| 1983 - 1986 |
Indiana |
Department of Public Welfare |
EPSDT program development and administration
|
| 1993 - 1995 |
Connecticut |
Department of Income Maintenance |
Hartford HealthTrack (EPSDT) administration
|
| 1993 - 1996 |
Michigan |
Department of Community Health |
EPSDT consumer outreach for providers
|
| 1994 - 1998 |
Georgia |
Department of Medical Assistance |
Health Check (EPSDT) provider recruitment and consumer outreach
|
| 1998 - Present |
Various |
Various HMOs |
EPSDT program development and administration
|
| 2010-Present |
Louisiana |
Department of Health and Hospitals |
Louisiana KIDMED Program - EPSDT program administration (provider and consumer outreach, appointment scheduling, tracking, etc.)
|
Encompassing all the elements of a complete EPSDT program (see Exhibit 2), our effort in Pennsylvania
produced the model used for all of our EPSDT administration contracts and has been our largest EPSDT endeavor.
Contracting for these activities with multiple states since 1980, we have developed a system that coordinates
all aspects of the program and centralizes operations by establishing a sole point of contact for all Medicaid
consumers, agencies and providers. Utilizing cutting edge computer systems and applications and state-of-the-art
telemarketing-marketing capabilities, including statewide toll-free hotlines for consumers and providers,
eligible families are contacted, educated about the program, and linked with a participating provider.
AHS assists in scheduling appointments and transportation, and helps in identifying and linking consumers
with follow-up care, as needed.
| EPSDT Services Provided |
| Key Areas |
PA |
CT |
MI |
IN |
MD |
GA |
LA |
| Family Outreach and Education |
X |
X |
X |
X |
X |
X |
X |
| Consumer Support Services |
X |
X |
X |
X |
X |
X |
X |
| Community Awareness |
X |
X |
|
X |
X |
X |
X |
| Program Advocacy via Interagency Networking |
X |
X |
X |
X |
|
X |
X |
| Staff Recruitment Training and Supervision |
X |
X |
X |
X |
X |
X |
X |
| Provider Recruitment Training and Monitoring |
X |
X |
|
X |
X |
|
X |
| Quality Assurance |
X |
X |
|
|
|
|
X |
| Case Management (automated information & scheduling) |
X |
X |
X |
X |
X |
X |
X |
| Referral and Follow-up |
X |
X |
X |
X |
X |
X |
X |
| Claims Editing and Processing |
X |
|
X |
|
|
|
|
| Statistical Analysis and Research |
X |
X |
X |
X |
X |
X |
X |
| Report Generation |
X |
X |
X |
X |
X |
X |
X |