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WASHINGTON, DC—A General Accounting Office (GAO) report released says Medicaid is failing to provide certain preventative health services for beneficiaries under age 21. The report found, for instance, that those enrolled in Medicaid do not receive lead screening and dental services. It said a comprehensive review is impossible due to annual state EPSDT (Early and Periodic Screening, Diagnostic and Treatment) delivery reports to the Centers for Medicare & Medicaid Services (CMS) being unreliable and incomplete. GAO said contributing factors behind this problem include inadequate state oversight and parents being unaware of the need for, or the availability of, covered services. The GAO recommends that CMS work with states to develop criteria and a timetable for assessing and improving the reporting and provision of EPSDT services.
—American Hospital Association, Aug. 13