Using Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) to improve access to obesity pharmacotherapy: A practical guide for clinicians caring for youth with obesity across United States Medicaid programs

Jaime M Moore, Valerie M O'Hara, Cassie Totman, Brooke Sweeney, Sarah Hampl, Alaina P Vidmar · 2026

Read Using Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) to improve access to obesity pharmacotherapy: A practical guide for clinicians caring for youth with obesity across United States Medicaid programs by Jaime M Moore, Valerie M O'Hara, Cassie Totman, Brooke Sweeney, Sarah Hampl, Alaina P Vidmar (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13312533.txt.

Description

Jaime M Moore and colleagues offer a 2026 practical guide for clinicians seeking obesity drug coverage for young patients under Medicaid. Coverage of these medicines varies sharply by state. The federal EPSDT benefit requires Medicaid to pay for medically necessary care for people under 21 even when a state plan omits it, and few clinics know how to invoke it.

The guide distills federal policy, state-by-state differences, and workflows from centers that have won approvals into a step-by-step framework. Its core moves include framing obesity as a chronic disease with documented risks, wording records in EPSDT's statutory language, dividing tasks across the care team, and running structured appeals after denials. Sample necessity letters, documentation templates, and workflow algorithms are supplied so clinics in varied settings can copy the process.

Catalog record

CREATORJaime M Moore, Valerie M O'Hara, Cassie Totman, Brooke Sweeney, Sarah Hampl, Alaina P Vidmar
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE64822
LICENSEhttps://creativecommons.org/licenses/by/4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/article/MED/PMC13312533

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