This is a document developed by Oregon for health plans participating in the Medicaid managed care ABCD III performance improvement project. It details the processes for sampling and auditing charts for information about developmental screening/concerns, referral to Early Intervention (EI), and feedback from EI.
TA document to assist providers in billing for developmental screening using CPT code 96110
Iowa Department of Human Services, Iowa Medicaid Enterprise (Jan 11, 2007). This resource is an informational release to physicians, nurse practitioners, and screening centers regarding payment for use of standardized screening tools. Payment for a standardized screening tool is not included in the reimbursement for a child’s preventive office visit or E/M service. The letter also describes the appropriate billing codes to use for services.
Colleen Reuland (2007) Overview and tips for using claims data to measure the percent of children screened to identify developmental concerns.
Virginia ABCD Project (2007) Two charts showing Medicaid paid claims for developmental screening for children from birth through 5 years of age in Virginia for calendar years 2005 and 2006.
Policy guidance on developmental screening, billing, and referral under CHIP
EPSDT manual describing policy for providing developmental and behavioral health screening