Assuring Better Child Health and Development Initiative

1
Assuring Better Child Health and Development
Initiative

• Funded by
• The Commonwealth Fund
• Administered and Supported by
• National Academy for State Health Policy

2
Agenda

• Background
• Policy Improvements and Pilot Practices
• Future
• Your experiences

3
ABCD Screening Academy States
4
ABCD Screening Academy Purpose

• To increase use of a general developmental
  screening tool as a part of health supervision
  during well-child care provided by primary care
  providers who act as young childrens medical
  homes.

5
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

6
Policy Improvement

• Clarified Medicaid billing for screening
• www.dmas.virginia.gov/downloads/pdfs/mm-EPSDT_Mem
  o_chart.pdf
• Monitored Medicaid claims for CPT 96110

7
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
8
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
9
Policy Improvement

• Incorporated use of a developmental screening
  tool into (Pre)School Entrance Health Form (VDH)
• www.vahealth.org/childadolescenthealth

10
School Health Entrance Form
?
11
Policy Improvement

• Developed a laminated referral guide to Part C
  Early Intervention services. (DMHMRSAS)
• www.infantva.org/documents/pr-ReferralGuide.pdf
• keisha.white_at_co.dmhmrsas.virginia.gov

12
ITC Referral Guide
13
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

14
ITC Referral/Consent Form
15
Pilot Practices

• Piedmont Health District, VDH
• Ages and Stages Questionnaire (ASQ)
• Augusta Pediatrics, Fishersville
• Parents Evaluation of Developmental Status
  (PEDS)

16
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 Childrens Healthy Mental
Development, NASHP, 2008.
17
ABCD III

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

18
Your Experiences