Resources
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HealthCheck Resources
- DC Periodicity Schedule
- Billing Manual (External Link)
- A-Z Index of Resources
- Standard Medical Record Forms (SMRFs)
DC Resources
General Pediatric Resources
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National Medicaid/ EPSDT Resources
Family Resources
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National Medicaid/EPSDT Resources
Data
Centers
for Medicare & Medicaid Services (CMS)
State
Agency Responsibilities: Includes the 
Form
CMS-416 Annual EPSDT Report and Instructions as
well as National
Data from CMS-416 (See links
half-way down page)
Title V Information System (TVIS)
Contains data from annual Title V Block Grant applications and reports. To identify EPSDT-related services provided by states, conduct several searches.
- Search Program Data: State Priority Needs Keyword Search. Select keywords such as Health Screening, Immunization, and Oral Health from the list (each term must be searched separately).
- Search Program Data: Screening and Treatment Information for Infants, Women, and Children and Program Data: Standard Screening Tests Performed by States.
- Search State "Negotiated" Performance and Outcome Measures: Search By Keyword / Population / Race and select keywords such as those used above (e.g., Health Screening).
