Health Affairs, 26, no. 2 (2007): 382-393 doi: 10.1377/hlthaff.26.2.382 © 2007 by Project HOPE	New Online   New Issue: China & India   Obesity In China   Pay Cuts For Medicare Docs   Access To Care Woes

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Insurance Design

Crossing The Medicaid–Private Insurance Divide: The Case Of EPSDT

Contained in the Deficit Reduction Act of 2005 is a provision that could greatly affect Medicaid’s signature child health coverage standard, embodied since 1967 in the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) benefit. Whether the core child health and developmental principles that have been EPSDT’s touchstone for four decades will continue to guide Medicaid depends on whether and how these principles will be incorporated into states’ coverage reforms.

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