Training Modules

Annual Early and Periodic Screening, Diagnostic and Treatment Services (EPSDT) Participation Report (CMS-416)

Training Modules

Training Modules

OMB: 0938-0354

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The modules, which were initially interactive online tools, have been converted to YouTube videos. As indicated in the Supporting Statement, they can also be accessed as following:


Title: Module 1: Overview of the Early and Period Screening, Diagnostic, and Treatment (EPSDT) Benefit

Description: Module 1 covers the history, goals, and basic requirements of the Early and Period Screening, Diagnostic, and Treatment (EPSDT) benefit, and provides a general overview of the Form CMS-416 and the Oral Health Initiative.

URL: https://youtu.be/O3cYN7z3q0M

Time: 10:58


Title: Module 2: Form CMS-416 Overview

Description: Module 2 provides information about how to submit the Form CMS- 416 and how to get help, familiarizes the audience with the partners and processes involved with collecting and reporting Form CMS-416 data, and introduces the general principles of data quality.

URL: https://youtu.be/BUQqLAzfaK4

Time: 29:14


Title: Module 3: Form CMS-416 Specifications – Lines 1a and 1b

Description: Module 3 addresses Lines 1a and 1b of the Form CMS-416, determining the correct age range when classifying eligibles, and provides some data quality checks for these lines.

URL: https://youtu.be/IzuxSdy4LO8

Time: 27:57


Title: Module 4: Form CMS-416 Specifications Lines 12a through 12e

Description: Module 4 addresses a number of issues related to Lines 12a through 12e on the Form CMS-416, the difference between oral health and dental services, determining the correct age range when classifying eligibles, and provides some data quality checks for these lines.

URL: https://youtu.be/qub-h-E5BcE

Time: 37:41


Title: Module 5: Form CMS-416 Specifications – Lines 12f and 12g

Description: Module 5 addresses a number of issues related to Lines 12f and 12g on the Form CMS-416, the difference between oral health and dental services, determining the correct age range when classifying eligibles, and provides some data quality checks for these lines.

URL: https://youtu.be/n9tOl3ykN1A

Time: 32:31


Title: Module 6: Using Form CMS-416 Dental Data

Description: Module 6 covers how Form CMS-416 dental and oral health data are used to track progress on the CMS Oral Health Initiative, introduces the Principles of quality improvement (QI) in health care, and provides examples of state initiatives that used data to improve oral health quality and access.

URL: https://youtu.be/zHguFA0CX30

Time: 31:47


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorMitch Bryman
File Modified0000-00-00
File Created2021-01-22

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