EPSDT: The Greatest Treatment Funding Secret Ever Concealed

2012 PA Psychological Association conference presentation “The Medicaid-Education Connection” (handout with presentation notes)

Every state is in the midst of a Budget Crisis.  Eventually, it will subside and Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit will still be a mandate to fund treatment for children under the age of twenty-one who are disabled and enrolled in Medicaid.  In thirty-six states any child with a disability, including all forms of Autism and ADHD, can be enrolled in Medicaid and be eligible for treatment funding via the EPSDT mandate regardless of family income.  As soon as the “budget crisis” is over, possibly before then, the parents of someone under the age of twenty-one who is disabled and enrolled in Medicaid are going to force the EPSDT door open.

Maybe they’ll enroll their child precisely because of the amazing and mandatory EPSDT benefit.  Then, unprepared, the state government will be desperate to close the EPSDT door but the horses will be out and running amok; the most the state will be able to do is try to build a corral to contain them.  That’s the way EPSDT got started in Pennsylvania in 1991.

Authorities in other states should be encouraged to see the future more clearly, avoid the fiscal catastrophes that Pennsylvania experienced when EPSDT was “awakened” here, and implement sensible, responsible controls over EPSDT expenditure of funds for mental health treatment for children like the ones that you’ll find at the Institute for Behavior Change website:  www.ibc-pa.org.  I created the model used by the Institute in 1981 and have been perfecting it ever since.  It can work in all 50 states.  Sooner or later, parents in every state will realize that “the greatest treatment funding secret in America” has been conscientiously hidden from them, while schools have been “tapping Medicaid” for hundreds of Millions of dollars (over $140,000,000 in 2010 in Pennsylvania alone; over $1 Billion since 2000).  That’s about $50 Billion in Medicaid funding eaten by schools in the past decade, while parents remain almost entirely oblivious to the fact that their disabled children are generating income for schools while they, themselves, are not being told that they could access that same funding source for their children at the same time.

I spoke at AutismOne on 5/24/12 (and will speak there again this year) and at the PA Psychological Association’s annual conference in 2012 (and will speak there again this year) about EPSDT funding for children’s mental health treatment and would love to travel to other states to help solidify parent efforts to obtain EPSDT funding for their children.  With Autism now afflicting 1 in 52 live male births in the USA this is no time to use “budget crisis” as a rationale for denying treatment funding to children that they are entitled to, as a Civil Right, under the Social Security Act.  That’s right.  It’s a Civil Right.   The treatment model I created in 1981 to deliver mental health treatment to children in their homes and schools funded by Medicaid/EPSDT has been studied by independent researchers at three different universities.  It works.  It can be created in all 50 states.  Watch this video to learn more about “How to secure EPSDT funding” for a child’s mental health treatment.  More later….


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