Updated: December 5, 2011

Presentation : Accessing EPSDT for Part C Services: Achieving a Better Fit Between the EI Philosophy and Allowable Medicaid Covered Services

In an effort to support states in their quest to maximize all available resources for Part C services, NECTAC convened a “think tank” of stakeholders representing Part C Coordinators and the IDEA Infant and Toddler Coordinators Association in early 2011 to address current fiscal challenges and potential resources that show promise in assisting states to comply with the federal requirement that Part C funds be used as Payor of Last Resort. Toward that end, the workgroup recommended that a toolkit be developed to provide resources for states as they navigate the world of Medicaid, in particular using EPSDT for children with disabilities.

NECTAC and the Association would like to thank Virginia’s Department of Behavioral Health and Developmental Services and the Department of Medical Assistance Services for their generosity in sharing their experience and toolkit resources via webinar in September 2011. This example is just one way that a state may choose to access Medicaid in order to enhance their financing system and potentially increase the numbers of children served through Medicaid and provide services for infants, toddlers and children with disabilities.

The following is a link to the presentation and the toolkit. Related resources have also been provided for anyone interested in learning more about how the Commonwealth of Virginia approached their task.

• View Presentation with synced audio: Accessing EPSDT for Part C Services... (31 minutes, requires Flash, see the Adobe Presenter help page)
• Presentation Materials for Microsoft Powerpoint: Accessing EPSDT for Part C Services... (PPT: 1425kb)
• Questions & Answers with the Presenters (PDF: 338kb)
• Polling Questions Results (PDF: 289kb)

Toolkit

• Options and Considerations When Accessing Medicaid Early Periodic Screening Diagnosis and Treatment (EPSDT) for Part C Services ( PDF: 139kb), ITCA, 2010
• Information for Potential Providers ( PDF: 76kb)
• Infant & Toddler Connection of Virginia Practice Manual (Table of Contents)
• Chapter 11: Finance and Billing ( PDF: 290kb)
  • Single Page Excerpt: Virginia Medicaid Billing Codes (PDF: 107kb)
• Chapter 12: Provider Qualifications ( PDF: 160kb)

Related Resources

• Infant & Toddler Connection of Virginia
• Principles and Practices of Early Intervention: Requirements for Early Intervention Practitioners
• Virginia Administrative Code: 12VAC35-220-30. Certification required for the provision of early intervention services.
• Workgroup Meeting Notes and Documents:
  • Early Intervention Transformation Implementation Task Force (a Medicaid EI initiative)
  • Early Intervention Targeted Case Management Task Force
• Virginia Early Intervention Professional Development Center
• DMAS Early Intervention Provider Manual (select Early Intervention Services frop the drop-down menu that follows the link)