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A ssuring B etter C hild Health and D evelopment Initiative Funded by: The Commonwealth Fund Administered and Supported by: National Academy for State Health Policy Agenda Background Policy Improvements and Pilot Practices Future Your experiences WA ME ND MT OR VT ID MN NH MA

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a ssuring b etter c hild health and d evelopment initiative

Assuring Better Child Health and Development Initiative

Funded by:

The Commonwealth Fund

Administered and Supported by:

National Academy for State Health Policy

agenda
Agenda
  • Background
  • Policy Improvements and Pilot Practices
  • Future
  • Your experiences
abcd screening academy states

WA

ME

ND

MT

OR

VT

ID

MN

NH

MA

WI

NY

SD

MI

WY

RI

CT

PA

IA

NJ

NE

NV

OH

UT

IN

DE

IL

MD

CO

CA

WV

VA

DC

KS

MO

KY

NC

TN

AZ

OK

SC

AR

NM

GA

AL

MS

TX

LA

AK

FL

PR

PR

HI

ABCD Screening Academy States

ABCD Screening Academy States
abcd screening academy purpose
ABCD Screening Academy Purpose

To increase use of a general developmental screening tool as a part ofhealth supervision duringwell-child care provided by primary care providers who act as young children’s medical homes.

public private partnership
Public/Private Partnership
  • Dept of Medical Assistance Services
  • AAP Virginia Chapter
  • Dept of Health
  • Stakeholders Group – Bright Futures Collaborative
    • Managed care health plans
    • Early Intervention programs
    • Home visiting programs
policy improvement
Policy Improvement
  • Clarified Medicaid billing for screening

www.dmas.virginia.gov/downloads/pdfs/mm-EPSDT_Memo_chart.pdf

  • Monitored Medicaid claims for CPT 96110
slide7

Medicaid Paid Claims for Developmental ScreeningFor Children Birth through 5 Years of Age by Month of ServiceVirginia, January 2005 through June 2008 (preliminary)

2006

2005

2007

2008

Source: DMAS, Medicaid paid claims for CPT 96110 by date of service, FFS and MCO; claims paid as of 7/22/08

slide8

Children with a Medicaid Paid Claim for Developmental Screening Children Birth through 5 Years by Age and Year of ServiceVirginia, Calendar Years 2005, 2006, 2007, and 2008 through Sept 22 (preliminary)

Source: DMAS. Children birth to age five with Medicaid paid claims for CPT 96110 by date of service, FFS and MCO; claims paid as of 9/22/08

policy improvement9
Policy Improvement
  • Incorporated use of a developmental screening tool into (Pre)School Entrance Health Form (VDH)

www.vahealth.org/childadolescenthealth

policy improvement11
Policy Improvement
  • Developed a laminated referral guide to Part C Early Intervention services. (DMHMRSAS)

www.infantva.org/documents/pr-ReferralGuide.pdf

keisha.white@co.dmhmrsas.virginia.gov

policy improvement13
Policy Improvement
  • Developed a uniform referral/consent form for sharing information between the Part C Early Intervention program and primary care provider (AAP and DMHMRSAS)

www.infantva.org/documents/forms/3094eEI.pdf

pilot practices
Pilot Practices
  • Piedmont Health District, VDH
      • Ages and Stages Questionnaire (ASQ)
  • Augusta Pediatrics, Fishersville
      • Parent’s Evaluation of Developmental Status (PEDS)
lesson learned
Lesson Learned
  • Screening is just the first step.
  • There must also be access to follow-up services.
  • Efforts to identify and help families and clinicians access resources for assessment and treatment are critical to project success.

*Source: Improving the Delivery of Health Care that Supports Young Children’’s Healthy Mental Development, NASHP, 2008.

abcd iii
ABCD III

Enhancing referral and care coordination between pediatric practices and community intervention agencies