Screening

Early identification and treatment of children at risk for developmental delay is critical to helping them achieve their full potential in life. The foundation for all aspects of a child’s healthy development (physical, behavioral, cognitive, and social/emotional) is laid during the first three years of life. Fortunately, a child’s developmental trajectory is dynamic. Children learn from every interaction, so developmental interventions, when offered early, can support healthy development, help to prevent developmental delay, and prepare children for school and a lifetime of well-being.

Below there are two maps that highlight state Medicaid policies around developmental screening reimbursement and screening tools.


Click here to find a detailed chart of developmental screening policy information by state.  

Medicaid Fee for Service Reimbursement for Developmental Screening


Medicaid Fee for Service Reimbursement for Developmental Screening

Legend:

Reimburses CPT 96110 (46)

Does not reimburse CPT 96110 (5)

* Note: Washington, DC is not pictured on the map, but is included in the counts above. It reimburses 96110 at $10.30 within FFS and requires developmental screening at the 9, 18 and 30-month EPSDT visits. There is a 2 unit maximum.

State Medicaid Recommendations and Requirements for Developmental Screening Tools


State Medicaid Recommendations and Requirements for Developmental Screening Tools

Legend:

Requires specific tools for CPT 96110 or developmental screening (17 states)

Recommends specific tools (15 states)

Does not recommend or require specific tools (18 states)

* Note: Washington, DC is not pictured on the map, but is included in the counts above. It does not recommend or require specific tools.

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