Category: Reimbursement

  • September 2016: The Nuts and Bolts of Medicaid Reimbursement for Developmental Screening

    Read More

    Each month, NASHP’s Healthy Child Development State Resource Center features a resource highlighting the role of screening, referral and care coordination for healthy child development.

    This month’s feature is a NASHP brief The Nuts and Bolts of Medicaid Reimbursement for Developmental Screening: Insights from Georgia, Minnesota, and North Carolina

    Periodic developmental screening is a key strategy in promoting children’s healthy growth and development. Early identification of possible developmental delays in children and timely referral and treatment can prevent more severe issues and significant costs. This brief highlights how Medicaid agencies play an important role in monitoring children’s development through developmental screening reimbursement policies. Setting reimbursement rates for screening; recommending or requiring certain screening tools; specifying the administration of developmental screenings; and leveraging Medicaid managed care contracts are a few strategies NASHP uncovered in its research. This new brief examines developmental screening reimbursement policies in Georgia, Minnesota, and North Carolina.

    If you have a resource you’d like NASHP to post in the Resource Center or feature in the future, please email nmention@nashp.org. The Healthy Child Development State Resource Center is supported by the David and Lucile Packard Foundation.

  • Illinois provider notice: Screening for Perinatal Depression

    Read More

    http://www.hfs.illinois.gov/assets/112904pd.pdf

  • State Medicaid Policy for Reimbursement of Maternal Depression Screening

    Read More

    http://www.nashp.org/wp-content/uploads/sites/default/files/abcd/abcd.il.screening.summary3.4.05.pdf

  • Financing Strategies for Medicaid Reimbursement of Maternal Depression Screening by Pediatric Providers

    Read More

    http://www.nashp.org/wp-content/uploads/sites/default/files/abcd/abcd.maternal.depression.screening.brief.pdf

  • Improving Early Childhood Health and Developmental Services Using EPSDT Policy: EPSDT Services and the Coding Conundrum

    Read More

    Improving Early Childhood Health and Developmental Services Using EPSDT Policy: EPSDT Services and the Coding Conundrum

  • Screening for Perinatal Depression – Informational Notice

    Read More

    This informational notice from IL DPA to practitioners outlines screening protocols for perinatal depression and provides information on DPA’s initiation of reimbursement for screening for perinatal depression and information about consultation services available to providers.

  • Informational letter: Billing Developmental services

    Read More

    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.

  • Overview of using claims data to measure screening rates

    Read More

    Colleen Reuland (2007) Overview and tips for using claims data to measure the percent of children screened to identify developmental concerns.

  • Medicaid Paid Claims for Developmental Screening

    Read More

    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.