of physicians, nurses, and other in the delivery of EPSDT services. Use of a medical/health home and creation of integrated delivery systems also has shown promise for improving child outcomes, particularly for children with special health needs and chronic or disabling conditions. Fourth, states’ use of case management and other mechanisms to coordinate services have the potential to connect families to appropriate and needed services. By strengthening the linkages between primary health care providers and other child and family services, case management and care coordination can better ensure that children receive needed services on a timely basis. Without these supports, children and families are more likely to delay or not receive services to address risks and prevent conditions from worsening. This work often demands strengthening state interagency partnerships. Fifth, designing policies and delivery system structures that address the needs of children with special needs. This includes children with special health care needs, with mental conditions and disorders, those in foster care, adolescents in transition to adulthood, and infants and toddlers whose risks point to future health or developmental problems. National EPSDT Improvement Workgroup In December 2010, the Centers for Medicare and Medicaid Services (CMS) convened a National EPSDT Improvement Workgroup that included state representatives, children’s health providers, consumer representatives, and other experts in the areas of maternal and child health and Medicaid. The members of the group provided advice to help CMS identify key opportunities for improvement of EPSDT. The group, which meets periodically, also discussed steps that the federal government might take in partnership with states and private sector organizations to both increase the number of children accessing services, and improve the quality of the data reporting. Related Federal Policies Title V Maternal and Child Health Programs Title V of the Social Security Act was enacted in 1935 as a health services safety net for all women and children. It was the first programs to provide grants to states to improve health. Today, the Title V Maternal and Child Health Services Block Grant continues as the only federal program with the goal of improving the health of all mothers and children. Title V is administered by the Maternal and Child Health Bureau, Health Resources and Services Administration, US Department of Health and Human Services. From the beginning, EPSDT and Title V were linked in federal statute. Simultaneous amendments to Medicaid and Title V law were added in 1967 to