Under the Early, Periodic, Screening, Diagnosis, and Treatment (EPSDT) provision of Medicaid, persons under the age of 21 who qualify for Maryland's Medical Assistance Program are entitled to any medically necessary services and supports intended to help with symptoms of a serious emotional disorder, psychiatric illness, or developmental disability.  The Maryland Disability Law Center (MDLC) believes that many children on Medical Assistance are not receiving the full scope of services to which they are entitled. 

Commonly known as "wrap-around", such services include in-home behavioral aides, mobile treatment, crisis intervention, case management, and other intensive services that a professional determines are medically necessary.  Wrap-around services are flexible, focused on the family's needs and preferences, and are designed to help the child function well in natural environments - at home, school, and in the community.  Experience in other states has demonstrated that timely and sufficient community supports minimize the need for admissions to hospitals and residential treatment centers.

MDLC has begun a project designed to provide information to families and mental health professionals on the legal entitlements of children on Medical Assistance.  They are available to explain the federal law, hear family members' or provider concerns, and provide training on making requests for these services.  MDLC is also available to provide legal representation if a child cannot obtain these services.

Anyone interested in arranging training with MDLC is asked to contact Cathy Surace in the Southern Maryland office at (800) 870-6362.  In addition, anyone needing specific information or legal advice is asked to call the Southern Maryland office or the Baltimore City office at (800) 233-7201.  All services and information from MDLC are provided free of charge.