EPSDT Data

The Form CMS-416 is used by CMS to collect basic information on State Medicaid and CHIP programs to assess the effectiveness of EPSDT services.

Annually, states must provide CMS with the following information:

1. Number of children provided child health screening service
2. Number of children referred for corrective treatment
3. Number of children receiving dental services
4. State's results in attaining goals set under section 1905(r) of the Social Security Act.

Form CMS-416 and instructions

• CMS-416 Instructions (Updated 2/2024)
• Form CMS-416 (Updated 2/2024)

To report data prior to FFY 2020 (Oct. 1, 2019 – Sept. 30, 2020) or to request a 508-version of the form, please email EPSDT@cms.hhs.gov.

Additional resources for reporting include:

• FFY 2019 Form CMS-416 Data Quality Checklist for States

Annual Reporting Data Files:

• FY 2024 Data (updates as of 08/06/2025)
• FY 2023 Data (updates as of 01/16/2025)
• FY 2022 Data (updates as of 01/16/2025)
• FY 2021 Data (updates as of 05/19/2023)
• FY 2020 Data (updates as of 06/29/2022)
• FY 2019 Data (updates as of 11/12/2020)
• FY 2018 Data (updates as of 11/15/2019)
• FY 2017 Data (update as of 03/12/2019)
• FY 2016 Data (update as of 03/14/2019)
• FY 2015 Data (last update 09/29/16)
• FY 2014 Data (last update 04/28/16)
• FY 2013 Data (last update 10/22/14)
• FY 2012 Data (last update 10/22/14)
• FY 2011 Data (last update 01/07/14)
• FY 2010 Data (last update 11/19/14)
• FY 1995-2009 Data