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.


Upcoming Events

Tribal Behavioral Health ECHO free series, Reclaiming Native Psychological Brilliance PDF

May 24, 2022: Native Trauma Layers and Post-Traumatic Growth. To register click here



Synopsis of State Screening Webinar on Tribal Sovereignty March 15, 2022

Overview of AI/AN Population and IHS-funded Healthcare Services: Challenges and Opportunities

A new resource from the Harvard Center on the Developing Child: Online Toolkit for Pediatric Health Care Providers and Caregivers


Downloadable Materials

  1. What is Early Start?
  2. Birth to 5: Watch Me Thrive Developmental Screening Passport 
  3. Sample Workflow from Help Me Grow Ventura County
  4. Sample of a Behavioral Health Referral Mechanism – from Alameda County
  5. Developmental Screening Landscape Analysis – California Statewide Screening Collaborative
  6. Referring Infants to Early Intervention Services
  7. Why Are Workforce Issues Important to Address as Part of the Screening Process? Infographic (Brief)
  8. Barriers to Accessing Infant Family & Early Childhood Mental Health Services and Resources Infographic (Brief)
  9. Data and Policy Barriers for Infant and Early Childhood Screenings Infographic (Brief)



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

Tribal Early Education and Outreach Program

Early Start Central Directory

Regional Center Early Start Intake and Family Resource Centers

Early Start Neighborhood

California Early Intervention Technical Assistance Network

The Early Start Community (Infographic)


Resources for Primary Healthcare Professionals

NEW resource from the Harvard Center on the Developing Child: Online Toolkit for Pediatric Health Care Providers and Caregivers

Free SEEK Online Training Videos and Supplemental Materials

EARLY SCREENING, BETTER OUTCOMES: Developmental Screening & Referral Toolkit for Pediatric Medical Clinics


Health Care Insurance Information

Patient Protection and Affordable Care Act (PPACA)



Evidence Based Practices Integrating Behavioral Health into Primary Care

Definitions Common in Integrated Behavioral Health

Collaborative care: agreements between providers, working in separate systems and facilities, to exchange information about shared patients.

Co-located care:  same providers, employed by separate systems, but working alongside each other in a shared facility

Integrated care: provided by a team of providers employed and working in the same system, using one treatment plan, a shared medical record, and functioning as a patient care team.

From: Hunter, CL. Goodie, JL, Oordt,  MS,  & Dobmeyer, AC (Eds), 2009. Integrated behavioral level health in primary care: Step-by-step guidance for assessment and intervention. Washington DC: Amer Psychological Assn.

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.


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

Integrated Early Childhood Behavioral Health in Primary Care

Integrated Early Childhood Behavioral Health in Primary Care: A Guide to Implementation and Evaluation.


Trauma Resources

Change Package for Advancing Trauma Informed Care in Primary Care Settings

The recording, slides, and links to resources provided in an overview webinar can be found on the following web pages:

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

Change Package for Primary Care

Compassion Resilience Toolkit

Facilitator resources to build the capacity of helping professionals, caregivers, and the systems in which they serve:

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

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

ACEs Aware Initiative

California Launches ACEs Aware Initiative to Address the Public Health Crisis of Toxic Stress From Childhood Trauma

ACEs Aware Initiative Website

ACEs Aware Initiative Educational Events

CPP Provider Roster

Provider Roster

ACEs and IMF Resources – WAIMH

ACEs and IMH: A Selection of Online Resources

Asking about Adverse Childhood Experiences (ACEs) in Prenatal and Pediatric Primary Care: A Narrative Review and Critique

AAP Trauma Toolkit

The AAP Trauma Toolkit offers information about the process of asking families about exposure to ACEs or other traumatic events.

Tips for families from the AAP Toolkit:

Bring Out the Best in Your Children (English)

Bring Out the Best in Your Children (Spanish)

When Things Aren’t Perfect: Caring for Yourself and Your Children (English)

When Things Aren’t Perfect: Caring for Yourself and Your Children (Spanish)

ACEs Science Champions

Heyman Oo integrates ACEs science as foundation of pediatric care



Recent Publications

January 2021. Meeting the Moment: Understanding EPSDT and Improving Implementation in California to Address Growing Mental Health Needs

December 2020. Coverage of Services to Promote Children’s Mental Health: Analysis of State and Insurer Non-Compliance with Current Federal Law

October 2020. Beyond Screening Expanding California’s Approach to ACE’s

July 2020. Children’s Now landscape analysis of Medi-Cal managed care for children.

June 2020. State of Babies Yearbook: 2020

June 2020. Virtual release of the State of Babies Yearbook: 2020

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

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

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

Synopsis of State Screening Webinar on Tribal Sovereignty March 15, 2022

Overview of AI/AN Population and IHS-funded Healthcare Services: Challenges and Opportunities

Voices of Native American Families Webinar

Voices of Native American Families Webinar Flyer

Overview of Native American Populations and Services in California

Improving Connections with Native Families

Collaborations in Early Intervention

Collaborating with Tribal Communities to Improve Connections to Services for Infants & Toddlers with Developmental and Behavioral Concerns

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

Overview of CalAIM: What does it mean for Children under age 3?