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History of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Program and
California's Child Health and Disability Prevention (CHDP) Program.
The CHDP Program is California's version of the federally mandated EPSDT Program.
EPSDT was the first and largest program providing comprehensive health screening
services to poor children and youth in the U.S. It is unique in that federal regulations
require states to actively seek out and inform those eligible for services.
Following are some significant dates in the history of EPSDT and CHDP:
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- 1965
U.S. Congress amends Title XIX of the Social Security Act of 1937, creating the federal Medicaid Program.
Medicaid is a jointly funded federal-state partnership designed to provide financial access
to health care for low-income Americans.
- 1967
U.S. Congress further amends the Social Security Act, requiring states to include early and periodic
screening, diagnosis and treatment (EPSDT) services to individuals under twenty years old who are
eligible for Medicaid.
- 1972
Federal EPSDT regulations are issued in draft form.
- 1973
California state legislature mandates AB 2086, the Child Health and Disability Prevention (CHDP) Program,
incorporating EPSDT into Medi-Cal.
- 1975
State regulations for the CHDP Program become effective. The first CHDP health exams are performed
in Los Angeles County.
- 1989
U.S. Congress strengthens the EPSDT Program with the Omnibus Budget Reconciliation act of 1989 (OBRA '89).
States participating in Medicaid are required to provide a comprehensive package of preventive,
diagnostic, treatment and supporting services for eligible children.
- 1989
The California legislature expands CHDP services to include children and teens from birth through
18 years of age from low-income families (up to 200% of the federal poverty level).
- 1994
The California State Department of Health Services adopts regulations (subsequently amended in 1995)
which clarify the state's implementation of EPSDT. These include EPSDT Supplemental Services -
medically necessary services that are not available to the Medi-Cal population over age 21.
- 1997
State mandates that Medi-Cal beneficiaries will be required to enroll in a managed care plans
in Los Angeles County. Patients will continue to be entitled to CHDP services through their
managed care providers.
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