The Centers for Medicare & Medicaid Services has released a toolkit that outlines strategies for states to strengthen access to behavioral health services for children enrolled in Medicaid and the Children’s Health Insurance Program. The sub-regulatory guidance focuses on early screening and intervention, care coordination, crisis services, telehealth and workforce capacity, as well as ensuring utilization management and reimbursement support Early and Periodic Screening, Diagnostic and Treatment requirements. Among other best practices, CMS encourages states to ensure Medicaid managed care plans’ payment structures are sufficient to maintain network adequacy and timely access to EPSDT-required, medically necessary care. 

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The Centers for Medicare and Medicaid Services April 8 issued guidance on implementing a provision within the reconciliation bill passed in July 2025 regarding…
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The Centers for Medicare & Medicaid Services April 2 announced the release of new data on health care utilization and prices at the provider and service…
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An American Heart Association study published March 25 found that children born to mothers with premature placental separation could be at higher risk of heart…
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The Centers for Medicare & Medicaid Services Innovation Center March 24 announced the launch of a new model under Medicaid and the Children’s Health…
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The Centers for Medicare & Medicaid Services March 11 issued guidance to state survey agency directors clarifying and reinforcing the roles and…
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The Medicaid and CHIP Payment and Access Commission March 12 released its March 2026 report to Congress. The first chapter includes a recommendation to…