CMS Coverage Guide: Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Guide for States: Coverage in the Medicaid Benefit for Children

July 16, 2026

Author: Centers for Medicare & Medicaid Services

Category: Policy and Strategy Case Studies

Keywords: access, Medicaid, policy, programs, strategies, Title V

This CMS guide serves as a key reference for states on implementing the EPSDT benefit. Updated in 2026, the guide addresses topics such medical necessity standards, behavioral health obligations, managed care requirements, health homes, quality reporting, and coordination with partners such as Title V Maternal and Child Health programs.