Medicaid's EPSDT Benefit: An Opportunity to Improve Pediatric Screening for Social Determinants of Health.
The Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit is a key component of Medicaid policy intended to define an essential set of services provided to patients younger than age 21. Given increasing attention to social determinants of health in pediatric health care, this qualitative review examines the extent to which EPSDT might be used to implement structured screening to identify environmental and social factors affecting children's health. Themes derived from semistructured interviews conducted in 2017 were triangulated with a review of the recent literature to describe how states currently consider the EPSDT benefit with respect to social determinants of health screening. Our findings suggest that, with sufficient stakeholder advocacy given the evidence supporting social determinants of health screening as "medically necessary," EPSDT benefits could be considered as a funding source to incentivize the incorporation of social determinants of health screening into the basic package of well-child care.
['Malhotra|Nisha A|NA|', 'Nevar|Ann|A|', 'Yearby|Ruqaiijah|R|', 'Kleinman|Lawrence C|LC|', 'Ronis|Sarah D|SD|https://orcid.org/0000-0003-1827-9460']
D000328:Adult D002648:Child D002662:Child Health Services D003695:Delivery of Health Care D006801:Humans D008484:Medicaid D064890:Social Determinants of Health D014481:United States D055815:Young Adult
Medicaid EPSDT pediatrics social determinants of health disparities health policy