Policies in Practice: Integrating Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services into Clinical Care for Medicaid Beneficiaries

This activity is part of a series

Faculty

Monica E. Peek, MD, MPH, MSc
(she/her/hers)
Ellen H. Block Professor of Health Justice in the Department of Medicine
Associate Director, Chicago Center for Diabetes Translation Research
Director of Research, MacLean Center for Clinical Medical Ethics
The University of Chicago
Chicago, IL
Monica E. Peek, MD, MPH, MSc

Monica Peek, MD, MPH, MSc is an Ellen H. Block Professor of Health Justice in the Department of Medicine. She is also the Associate Director, Chicago Center for Diabetes Translation Research, and Director of Research, MacLean Center for Clinical Medical Ethics. She is a practicing internist, medical educator, and clinician investigator. Her research pursues health equity and social justice, with a focus on promoting equitable doctor/patient relationships among racial minorities, integrating the medical and social needs of patients, and addressing health care discrimination and structural racism impacting health outcomes (e.g., diabetes, COVID-19). Dr. Peek has authored more than 200 peer-reviewed publications and abstracts on health care disparities, diversity, and bias; has been the principal investigator of multiple grants to address health disparities; and has been invited to speak at numerous local and national medical meetings.

Wendy L. Hobson-Rohrer, MD, MSPH, FAAP
Professor of Pediatrics
Associate Vice President of Health Sciences Education
University of Utah Health
Salt Lake City, UT
Wendy L. Hobson-Rohrer, MD, MSPH, FAAP

Wendy L. Hobson-Rohrer, MD, MSPH, FAAP, is the inaugural Associate Vice President for Health Sciences Education and a professor (with tenure) of pediatrics at the University of Utah.

As a general pediatrician, she cares for patients and teaches students and residents at the University of Utah South Main Clinic, whose mission is to increase access to health care for marginalized populations and provide the highest quality of care to patients regardless of their financial ability to pay. She is the Executive Clinical Director, working collaboratively with dentists, physician assistants, midwives, nurse practitioners, family medicine physicians, obstetricians, and pediatricians.

Dr. Hobson-Rohrer graduated from Cornell University with a BA in Spanish and Latin American Studies with distinction in all subjects. She earned her MD degree at Cornell University Medical College. Following pediatric residency, she worked in the National Public Health Services Corp, during which time she completed an education fellowship and MSPH at the University of Utah. She is a graduate of the Executive Leadership in Academic Medicine (ELAM) program and holds a graduate certificate in conflict resolution and mediation.

Statement of Need

Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefits provide comprehensive and preventive health care services for children under age 21 who are enrolled in Medicaid. Federal statutes and regulations require that EPSDT preventative, dental, mental, developmental, and specialty services be provided even when state Medicaid programs do not cover these same services for adults. While EPSDT was intended to expand health coverage for all low-income children, implementation has been inconsistent. Individual states are allowed to set “reasonable limits” for services covered based on certain criteria like medical necessity or utilization control, which can have the practical effect of limiting children’s access to care. Other barriers include a lack of primary health care professionals in medically underserved communities and inadequate reporting and performance standards.

EPSDT has the potential to improve health outcomes for all eligible children by ensuring they receive needed health services as early as possible in a variety of settings, including at school. This educational discussion led by national experts will introduce EPSDT, what it covers, and how it can be used to address social determinants of health in the delivery of high-quality health care.

Learning Objectives

  • Identify the importance of EPSDT as it relates to appropriate screening, preventative services, and treatment services that are medically necessary
  • Integrate EPSDT to address social determinants of health in the delivery of high-quality health care

Financial Support

This program is supported by an independent medical education grant from CVS Health.

Target Audience

Physicians, nurse practitioners (NPs), nurses, physician associates (PAs), pharmacists, and pharmacy technicians within the CVS Health System

Credit Information

Jointly Accredited Provider

In support of improving patient care, CME Outfitters, LLC, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Interprofessional (IPCE) 0.75

This activity was planned by and for the healthcare team, and learners will receive 0.75 Interprofessional Continuing Education (IPCE) Credit for learning and change.

Physicians (ACCME) 0.75

CME Outfitters, LLC, is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. CME Outfitters, LLC, designates this enduring activity for a maximum of .75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses (ANCC) 0.75

This activity is designated for 0.75 contact hour. Nurse practitioners can apply for AMA PRA Category 1 Credit(s)™ through the American Academy of Nurse Practitioners (AANP). AANP will accept AMA PRA Category 1 Credit(s)™ from Jointly Accredited Organizations. Nurse practitioners can also apply for credit through their state boards.

Note for California Nurses

This continuing nursing education activity was approved by the California Board of Registered Nursing. CME Outfitters, LLC’s provider number is CEP15510.

Pharmacists/Pharmacy Tech (ACPE) 0.75

This application-based activity is approved for 0.75 contact hour (0.075 CEUs) of continuing pharmacy credit.
Activity UANs: Pharmacist JA0007185-0000-23-120-H01-P Technician JA0007185-0000-23-120-H01-T

PAs (AAPA) 0.75

CME Outfitters, LLC, has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 0.75 AAPA Category 1 CME credits. Approval is valid until expiration date listed above. PAs should only claim credit commensurate with the extent of their participation.

ABIM MOC 0.75

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.75 medical knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

MIPS Improvement Activity

Completion of this accredited CME activity meets the expectations of an Accredited Safety or Quality Improvement Program (IA_PSPA_28) for the Merit-based Incentive Payment Program (MIPS). Clinicians should submit their improvement activities by attestation via the CMS Quality Payment Program website.

Royal College MOC

Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.

Dietetics (CDR)

Completion of this RD/DTR profession-specific or IPCE activity awards CPEUs (One IPCE credit = One CPEU). If the activity is dietetics-related but not targeted to RDs or DTRs, CPEUs may be claimed which are commensurate with participation in contact hours (One 60 minute hour = 1 CPEU). RDs and DTRs are to select activity type 102 in their Activity Log. Performance indicator selection is at the learner’s discretion.

Disclosure Declaration

It is the policy of CME Outfitters, LLC, to ensure independence, balance, objectivity, and scientific rigor and integrity in all of their CE activities. Faculty must disclose to the participants any relationships with commercial companies whose products or devices may be mentioned in faculty presentations, or with the commercial supporter of this CE activity. CME Outfitters, LLC, has evaluated, identified, and mitigated any potential conflicts of interest through a rigorous content validation procedure, use of evidence-based data/research, and a multidisciplinary peer review process.

Dr. Peek reports no financial relationships to disclose.

Dr. Hobson-Rohrer reports no financial relationships to disclose.

Disclosures were obtained from the following peer reviewer and CME Outfitters, LLC, staff, with no disclosures to report:

  • Joshua Caballero, PharmD, BCPP, FCCP (peer reviewer)
  • Jeffrey Helfand, DO (peer reviewer)
  • Morgan Stockberger, MD (planning committee)
  • Jessica Whelan, DNP, APRN, FPMHNP-BC, RN-BC (planning committee)
  • Susan H. Yarbrough, CHCP (planning committee)
  • Sandra Caballero, PharmD (planning committee)
  • Sharon Tordoff (planning committee)

Faculty of this CE activity may include discussions of products or devices that are not currently labeled for use by the FDA. The faculty have been informed of their responsibility to disclose to the audience if they will be discussing off-label or investigational uses (any uses not approved by the FDA) of products or devices.

Obtaining Credit

Post-tests, credit request forms, and activity evaluations must be completed online (requires free account activation), and participants can print their certificate or statement of credit immediately (75% pass rate required). This website supports all browsers except Internet Explorer for Mac. For complete technical requirements and privacy policy, visit our Privacy & Confidentiality page

Questions about this activity?

Call us at 877.CME.PROS (877.263.7767).

SN-218-103123-80

Policies in Practice: Integrating Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services into Clinical Care for Medicaid Beneficiaries
Event Date: 10/31/2023