OBJECTIVE
Mental health in childhood includes reaching developmental and emotional milestones and learning healthy social skills and coping skills for when problems arise. Medicaid's mandatory early and periodic screening, diagnostic, and treatment (EPSDT) benefit requires that children under age 21 who are enrolled in Medicaid receive all medically necessary services, including behavioral health services, which include services for mental and substance use disorders. Many States include coverage of behavioral health services for children and youth in their Medicaid State plans and through various Medicaid managed care waivers. We will determine the extent to which children enrolled in Medicaid received EPSDT medical screenings and, if diagnosed with a behavioral health condition, whether behavioral health treatment services were provided. We will also review whether States and managed care organizations met Federal and State requirements for providing EPSDT behavioral health services.
There are 3 projects in this series.
Project titles will remain unpublished until projects are complete and reports are posted.
ACTIVE PROJECTS IN THIS SERIES (3)
TIMELINE
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July 15, 2025Series Number SRS-A-26-031 Assigned
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July 15, 2025Project Announced
Project OAS-24-02-009
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May 18, 2026Project Announced
Project OAS-26-02-108
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June 8, 2026Project Announced
Project OAS-26-02-114
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Today3 Audits In-Progress
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Est FY2028Estimated Fiscal Year for Series Completion