Click here to read the 1/5/2017 CMS guidance on State Medicaid agency managed care plan arrangements’ responsibility to ensure that Medicaid enrollees under 21 years old have access to the full scope of federally mandated EPSDT services. The memo notes that states may opt to “carve out” certain EPSDT services and reimburse them, separately from managed care arrangements, on a fee-for-service basis – which some states do with IEP-required services provided by schools.