Early Childhood Services Costs, Financing, and Return on Investment
ABCD states each endeavored (and still continue to do so) to improve the delivery of care to young children, mostly without seeking new appropriations, changing state law, or obtaining federal approval. States found that they could make improvements to care without new funding or legislation They accomplished their work by leveraging existing resources (such as federal EPSDT provisions) and partnering with other stakeholders, including their sister agencies, private organizations, and providers.
This section includes resources on the costs and financing associated with the delivery of early childhood health and developmental services. It includes a guide to federal funding for early childhood supports and services, an evidence base for the types of programs that have been demonstrated to be effective, the potential for returns to society that exceed the resources invested in program delivery, and specific information on ABCD states’ strategies to pay for improvement.
ABCD Activities
| Title | Description |
Date published |
Resource | State |
|---|---|---|---|---|
| Billing Codes for Iowa's EPSDT Care for Kids Services | Iowa Department of Human Services. This section of the EPSDT Care for Kids website contains billing code information for developmental, social, emotional, and family risk screening as well as developmental and mental health assessment and diagnosis. It clarifies that providers may crosswalk the Early Childhood DC: 0-3 with the DSMIV or ICD-9 diagnostic codes to bill for the screening service. Available online at: http://www.iowaepsdt.org/Services/BillingCode.htm#screening. | January 2009 | State-specific | Iowa |
| Improving Early Childhood Health and Developmental Services Using EPSDT Policy: EPSDT Services and the Coding Conundrum |
Joel Bradley, (Americhoice by United Health Care, 2009). This PowerPoint presentation describes the correct coding for EPSDT services and helps readers understand how the correct use of existing coding systems can facilitate EPSDT data tracking and provide opportunities to reward providers for higher screening rates. Dr. Bradely presented this information to EPSDT Coordinators during a webcast of the same name in March 2009. |
January 2009 | NASHP-Commonwealth | |
| Fulfilling the Promise: How States Invest in Early Childhood Development under Medicaid and SCHIP | Department of Health Policy (Washington, DC: George Washington University, 2007) These individual state profiles are a result of an in-depth, nationwide analysis of how states implement the promise of comprehensive preventive pediatric coverage in early childhood development under their Medicaid and SCHIP programs. | December 2007 | Other | |
| Reimbursing for Screening | Susan Castellano, Chris Collins, Sally Nadolsky, and Debby Saunders. (December 2007). This PowerPoint presentation (shared at the December 3, 2007 ABCD TA call) draws from the experiences of Illinois, Iowa, Minnesota, and North Carolina to summarize the strengths and weaknesses of various options for reimbursing for screening. | December 2007 | NASHP-Commonwealth | |
| Medicaid 96110/96111 code reimbursement amounts by state | Medicaid 96110/96111 code reimbursement amounts by carrier and state. Accessed and compiled by Dr. Michelle Macias, September 2007. | September 2007 | Other | |
| Reimbursing for Screening Web Conference: Recording | NASHP (2007) Audio recording of the Reimbursing for Screening Web Conference. This link will connect you with the ReadyTalk log-in page: enter your name and organization and you will be connected to the audio recording. https://cc.readytalk.com/play?id=ctm2kky3 | July 2007 | NASHP-Commonwealth | |
| ABCD local funding resource document | Jennifer May. (Portland, ME: National Academy for State Health Policy, 2006.) This resource explores what ABCD Consortium states accomplished by partnering with local funders to support children's healthy development. | December 2006 | NASHP-Commonwealth | |
| Billing and Policy Technical Assistance | North Carolina ABCD Project. (2006). This PowerPoint presentation clarifies billing procedures for developmental screening around existing EPSDT requirements for Medicaid eligible children as well as providing state-specific information on billing private insurers. | December 2006 | State-specific | North Carolina |
| Investing in Infants and Toddlers: The Economics of Early Childhood | Kimberly Lucas. (Washington, DC: Zero to Three Policy Center, September 2006). This article outlines current economic research, its application within the field of child development, and ways in which early childhood professionals and economists can join forces to advocate for greater investment in program s that support infants, toddlers, and their families. (From Overview) http://www.zerotothree.org/site/DocServer/The_Economics_of_Early_Childho... | September 2006 | Other | |
| Financing Strategies for Medicaid Reimbursement of Maternal Depression Screening by Pediatric Providers | Karen VanLandegehm. (Portland, ME: National Academy for State Health Policy, April 2006). This news brief explores how pediatric providers (e.g., pediatricians, family physicians, and nurse practitioners) can play a key role in early intervention for maternal depression and provides sound financing strategies for Medicaid reimbursement. | April 2006 | NASHP-Commonwealth |
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