EPSDT

Increase EPSDT Visits and Screenings Through Conversations at Scale

Drive members to complete essential visits using words of encouragement.

The EPSDT benefit is key to ensuring that children and adolescent Medicaid members receive appropriate preventive, dental, mental health, developmental, and specialty services. It’s also a major priority for state and federal regulators. Plans devote significant resources to incentive programs, community resources, and provider alignment to encourage EPSDT participation.

But only 59% of eligible members receive an initial or periodic screening. Members and families across large and diverse populations not only need to be aware of the importance of these screenings, but they also need to be connected to available resources.

mPulse Mobile’s EPSDT solution uses tailored reminders to drive population-level improvement for essential visits and screenings.

Conversational outreach strengthens the relationship between you and your members. Using tailored communications at scale links members and guardians to your EPSDT initiatives, builds health literacy when needed, and provides actionable insights about your population’s needs and barriers to participation.

Proven Results

14pp

Increase in Well Child visit completion

10pp

Increase in Adolescent Well Care visit completion

18%

Visit completion rate for a previously unengaged population

How it Works

UNDERSTAND Members and Families

We build a dynamic profile of each member to allow for tailored and relevant outreach that has the best chance to encourage action.

  • Screening Completion History
  • Spoken Language and Cultural Background
  • Health Literacy
  • Health Activation
  • Proprietary SDOH Index Score
  • Member Age and Demographic Information
  • Engagement History

DELIVER Conversations That Drive Screening and Visit Completion

The member or appropriate guardian receives conversational reminders to complete relevant screenings and visits.

  • Use automated follow-up “nudges” and tailored content to increase awareness of EPSDT’s importance
  • Use Natural Language Understanding (NLU) to gather critical member-reported information, including barriers to visiting clinics
  • Connect members to existing community events, initiatives, and incentives to drive awareness and better outcomes

OPTIMIZE Your Solution

We work with you to capture key insights and optimize the solution to continuously improve EPSDT visit completions.

  • Analyze all aspects of solution performance through solution dashboards
  • Measure and understand conversational engagement, SDOH impact, and health literacy across population segments
  • Optimize conversations and address common member-reported barriers to help members and families take action

Solution Content

Core Solution:

  • Awareness and Reminder Conversations for:
    • Well-Child Visits in the First 15 Months of Life (W15)
    • Well-Child Visits in the Third, Fourth, Fifth and Sixth Years of Life (W34)
    • Adolescent Well-Care Visits (AWC)
    • Lead Screening in Children (LSC)
  • Barrier Identification
  • Satisfaction Survey

Additional Modules:

  • Awareness and Reminder Conversations for:
    • Childhood Immunization Status (CIS)
    • Immunizations for Adolescents (IMA)
    • Annual Dental Visit (ADV)
  • Connecting to Transportation Assistance
  • Community Events
  • Health Literacy and Education Improvement
  • Additional Channels and Languages
  • CAHPS Satisfaction Monitor

Advanced technology. Practical solutions.

The EPSDT Solution is delivered using our enterprise-grade communication platform and innovative technology that powers effective and scalable conversations.

  • Conversational AI – Forms the core of our Natural Language Understanding and allows us to automate tailored conversations
  • Engagement Console – Empowers your support staff to have 1:1 mobile conversations with members using a cloud-based desktop application
  • Reporting – Provides you with the data views and analysis to understand member engagement and optimization of solution outcomes
  • SDOH Index – Lets us understand populations at scale to tailor conversations so you can provide support to all your members
  • Activation Intelligence – Builds individual activation profiles for each member so we can adapt and tailor conversations to drive solution outcomes
  • Conversation Science – Enables us to measure and assess the quality of our automated conversations at scale, so we can be more meaningful and engaging

Start Conversations.
Build Relationships.
Drive Outcomes.

It all starts with conversation. Our omnichannel solutions empower you to have conversations with your consumers through their preferred channel and with relevant content. Our behavioral data science team and Conversational AI platform give you the smarts and automation to intelligently tailor your conversations to build stronger, tighter relationships with all your members. Relationships are the key to activation and behavior change that drives positive outcomes.

It’s all about relationships.
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