Federal law requires coordination and partnerships between Medicaid government agencies and V-MCH recipients to ensure better access to screening, diagnostic and treatment services. Inter-institutional agreements, a requirement in Medicaid and Title V Status and Regulation are the main mechanism for structuring coordination and partnerships. While the federal Medicaid/EPSDT act and title V law require coordination between programs, the language is different, as shown below. Conversely, federal EPSDT rules require coordination with Title V. These requirements require Medicaid agencies to establish: 1) written agreements providing for maximum use of Title V-supported services to improve children`s health status; and 2) reimbursement of Title V providers for services provided, even though these services are provided free of charge to low-income families.     From the outset, EPSDT and Title V were bound by federal law. At the same time, amendments were added in 1967 to the Medicaid and Title V laws to create the EPSDT framework. Between 1967 and 1989, Congress passed a number of Amendments to Title V, which supplemented the requirements of close cooperation with Medicaid in a number of activities. Currently, the Title V Act requires: that the government programs MCH: help with the coordination of EPSDT, establish coordination agreements for their Medicaid government programs, provide a green number to families looking for V-title or Medicaid providers, provide contacts and facilitate the registration of eligible children and pregnant women, ensure co-responsibility for data collection, and provide services to children with special health and disability needs not covered by Medicaid.  While the Center for Medicare and Medicaid Services (CMS) is responsible for managing federal guidelines for Medicaid and EPSDT, government partnerships between Medicaid government agencies, Title V MCH programs, families, service providers and managed care organizations are essential to ensuring access to services needed for children. States are using coordination and partnerships between Title V and Medicaid to improve access to children`s health and outcomes. The more flexible funding for Title V can complement Medicaid and support activities that are not funded through health care.
As noted above, federal law requires Medicaid State Plans to establish cooperation agreements, payments and other service-related agreements with Title V. recipients (42 CFR 431.615 (e)) The block Grant program “MCH) and the Medicaid program are required under federal law to coordinate activities using coordination agreements and partnerships between public Medicaid agencies and V MCH fellows to improve access to services for children and pregnant women.