EPSDT as a Pathway Toward Trauma-Informed Care for Children with Medicaid Coverage

State-Level Managed Care Penetration in Medicaid and Rates of Preventive Care Visits for Children

“…Fourth, it also has been suggested that EPSDT benefits ought to be applied to mental health services, and also provide the opportunity to screen for adverse childhood events, but these recommendations were not part of the measure of EPSDT participation in our study. 26,27 Fifth, while states differ in whether they include versus exclude youth beneficiaries with special health care needs in their MMC programs, we could not examine this aspect of state policy in our analysis because the CMS-416 data are not reported for subgroups of youth based on their diagnoses. [28][29][30] Sixth, this dataset defines MMC enrollment using the EPSDT CMS-416 data.…”

Responding to Adverse Childhood Experiences

“…As many are considering changes in structure and a trauma-informed approach to support addressing toxic stress in childhood, the article by Starsoneck and Ake examines innovative and proactive designs related to North Carolina's domestic violence response [31], and Idzikowski and Zachary look at available payment mechanisms for mobile crisis response teams under EPSDT and Medicaid, while acknowledging preventive mental health care is critical [32]. Steinberg and Lassiter explain how the Juvenile Justice Section of North Carolina's Department of Public Safety is working toward becoming trauma-informed [33], and Murphy discusses the role of payers in supporting ACE-informed, evidence-based treatment [34].…”