Billing

Developmental screening can be billed using CPT billing code 96110 or ICD-10 Z13.4. This covers the time a physician scores, reviews results, and interprets findings.  Billing for developmental screening using these codes requires documentation that the screening was given and notes any action taken, such as follow-up screening, developmental milestone information, or referral to community agency or community resource. Reimbursement rates vary by insurance provider. Contact insurance providers directly to learn the reimbursement rate.  For Behavioral/Social Emotional screening of young children use CPT code 96127. For Maternal Depression use CPT Code 96161. For Trauma screenings use CPT Code 96160.

 

Downloadable Materials

  1. Birth to 5: Watch Me Thrive Developmental Screening Passport 
  2. Sample Workflow from Help Me Grow Ventura County
  3. Sample of a Behavioral Health Referral Mechanism – from Alameda County
  4. Developmental Screening Landscape Analysis – California Statewide Screening Collaborative
  5. Referring Infants to Early Intervention Services

 

Citations

Citations downloadable PDF

 

Federal & National Initiatives

Birth to Five: Watch Me Thrive!

CDC Learn the Signs. Act Early

AAP Bright Futures

AAP Star Center | Screening Technical Assistance & Resource Center

 

California State Programs

California Early Start (Part C)

Child Health and Disability Prevention (CHDP)

Help Me Grow California Program

High Risk Infant Follow Up (HRIF)

MCAH Programs

 

Resources for Families

Early Start Website Directory

Regional Center Early Start Intake and Family Resource Centers

Early Start Neighborhood

California Early Intervention Technical Assistance Network

 

Resources for Primary Healthcare Professionals

Free SEEK Online Training Videos and Supplemental Materials

 

Health Care Insurance Information

Patient Protection and Affordable Care Act (PPACA)

Medi-Cal

 

Evidence Based Practices Integrating Behavioral Health into Primary Care

Educating Practices Program (formerly EPIC Program) in CT

The Child Health and Development Institute of Connecticut, Inc. (CHDI) developed a comprehensive, community-based, child health provider outreach and training program in collaboration with the Connecticut chapters of the American Academy of Pediatrics and Family Physicians. The goal of CHDI’s Educating Practices program is to improve the content and delivery of child health services by assisting providers in implementing practice changes that are supported by community and State resources.

Overview

EPIC Educating Practices

Healthy Steps

HealthySteps is an evidence-based, interdisciplinary pediatric primary care program that promotes positive parenting and healthy development for babies and toddlers.

HealthySteps Overview with downloadable information

Fostering Social and Emotional Health Through Pediatric Primary Care

Common Threads to Transform Everyday Practice and Systems

Legal Partnering For Child and Family Health 

An Opportunity and Call to Action for Early Childhood Systems

 

Trauma Resources

Change Package for Advancing Trauma Informed Care in Primary Care Settings

Recording, slides, and links to resources provided in an overview webinar

Change Package for Primary Care

Compassion Resilience Toolkit

Resilience Toolkits for Schools, Health and Human Services, and Parents/Caregivers 

Resilient Beginnings Collaborative

The Resilient Beginnings Collaborative, a two year initiative involving seven Bay Area Safety net clinics, addresses childhood adversity in pediatric safety net care settings.

Marin Community Clinics in California Screen Babies for ACEs, Provide Support in Effort to Prevent Trauma

How Collaboration Helps Clinic in San Mateo County, CA, Tackle ACEs in Children

Department of Health Care Services Information on Trauma Screenings

Trauma Screenings

Value Based Payments

Screening for Adverse Childhood Experiences Is a Medi-Cal Covered Benefit

Recent Publications on Trauma

2019. Childhood Adversity Screenings Are Just One Part of an Effective Policy Response to Childhood Trauma

March 2016. How Knowledge of Adverse Childhood Experiences Can Help Pediatricians Prevent Mental Health Problems

 

Recent Publications

June 2019. First 5 LA Issue Briefs and Infographics on Early Screening and Intervention

August 2019. Children Now Insider: Developmental Screenings And Early Intervention Are Critical To Ensuring A Healthy Start For California’s Youngest Children

February 2019. Setting a Medi-Cal Child Health Quality Agenda

2019. The State of California’s Babies

March 2018. Developmental Screenings for Young Children in Medicaid and the Children’s Health Insurance Program

February 2018. Early Identification and Intervention Systems in California: Bright Spots and Lessons Learned

2018. Broad Developmental Screening Misses Young Children With Social-Emotional Needs

2018. Innovations in Cross-Sector Developmental Screening

 

Presentations at State Screening Collaborative Meetings

An EPIC Look into Young Children in Child Welfare

Advancements in Monitoring Quality in Managed Care

Developmental Screening

Early Identification and Linkages to Intervention for Autism and other Developmental Disabilities in Young Children

From the Doctor’s Office: California Pediatrician Survey on Early Childhood Developmental Screening

OC Children’s Screening Registry: A Solution for Cross Sector Communication and Referrals to Services

Shared Materials from the Assembly Select Committee on Early Childhood Development Hearing

The Evolution of Developmental Screening and Referrals in Alameda County: 2005-Present

Title V Child Health Needs Assessment and Action Planning