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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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Assuring Better Child Health and Development 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 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 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 • 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 • Clarified Medicaid billing for screening www.dmas.virginia.gov/downloads/pdfs/mm-EPSDT_Memo_chart.pdf • Monitored Medicaid claims for CPT 96110
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
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 Improvement • Incorporated use of a developmental screening tool into (Pre)School Entrance Health Form (VDH) www.vahealth.org/childadolescenthealth
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 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 • Piedmont Health District, VDH • Ages and Stages Questionnaire (ASQ) • Augusta Pediatrics, Fishersville • Parent’s Evaluation of Developmental Status (PEDS)
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 Enhancing referral and care coordination between pediatric practices and community intervention agencies