Open AccessMedicaid’s EPSDT Benefit: An Opportunity to Improve Pediatric Screening for Social Determinants of Health
Author(s) -
Nisha Malhotra,
Ann Nevar,
Ruqaiijah Yearby,
Lawrence C. Kleinman,
Sarah D. Ronis
Publication year - 2019
Publication title -
medical care research and review
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.433
H-Index - 85
eISSN - 1552-6801
pISSN - 1077-5587
DOI - 10.1177/1077558719874211
Subject(s) - medicaid , social determinants of health , medicine , health care , family medicine , nursing , health policy , stakeholder , public health , public relations , economic growth , political science , economics
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.