Assuring Better Child Health and Development Resource Center
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   -----------------------------------An initiative of the National Academy for State Health Policy
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 An Initiative of:
 
 National Academy for State Health Policy

The Commonwealth Fund

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Illinois Resources: Paying for Improvements

Among other policy changes, Illinois Medicaid clarified policy to allow for two developmental screenings and one risk assessment on the same day, began paying primary care clinicians for using a validated screening tool to screen the mothers of all infants covered by Medicaid for perinatal depression, and increased reimbursement to providers for preventive EPSDT well child screening services.

This section contains resources for "Paying for Improvements" developed by Illinois.


  • Illinois ABCD II Healthy Beginnings Pilot Community Evaluation Report: Baseline data
    Illinois ABCD Healthy Beginnings. (July 2005). This report outlines baseline data (collected in needs assessments and surveys described elsewhere) prior to project implementation and outlines the initiative's goals to build the social/emotional health capacities of pediatricians and family physicians.
    IL Attachment 2 - Fourth Quarterly Report 2005.doc

  • State Medicaid Policy for Reimbursement of Maternal Depression Screening
    Illinois ABCD Healthy Beginnings. (March 4, 2005). This resource outlines the Illinois State Medicaid Policy for Reimbursement of Maternal Depression Screening.
    IL Screening Summary 3-4-05.pdf

  • ABCD II Healthy Beginnings Lessons Learned #2
    Illinois ABCD Healthy Beginnings. (June 2005). This report details lessons learned from periodic interviews with Healthy Beginnings subcommittee co-chairs.
    Attachment 1 Lessons Learned.doc

  • Handbook for Healthy Kids Services, Chapter HK-200: Policy and Procedures for Healthy Kids Services
    Illinois Department of Public Aid. (April 2002). Available online at: http://www.hfs.illinois.gov/assets/041404hk200.pdf. This handbook chapter describes the components and frequency with which well-child screening services are to be performed under the Healthy Kids program.(From Foreward). It clarifies that the use of an approved, objective screening tool is required for EPSDT screens (see pages 3 and 12-15).
    http://www.hfs.illinois.gov/assets/041404hk200.pdf

  • Illinois provider notice: Screening for Perinatal Depression
    Illinois Department of Public Aid (2004) This notice provides information on DPA’s initiation of reimbursement for screening for perinatal depression and information about consultation services available to providers.
    http://www.hfs.illinois.gov/assets/112904pd.pdf

  • Illinois provider notice: Billing for Screenings Under the Healthy Kids Program
    Illinois Department of Public Aid (2004) Provider notice explaining Illinois attempt to unbundle payment for Developmental screening services to ensure policies conform with Medicaid reimbursement rules.
    http://www.hfs.illinois.gov/assets/021004healthykids.pdf


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State-Specific Activities:

>>Making the Case

>>Engaging Leaders

>>Improving Quality in Office Practice

>>Identifying Children and Families at Risk

>>Identifying and Addressing Needs

>>Improving Policy

>>Gauging Success

>>Paying for Improvements

>>Testing Models

>>Spreading Results

 
 
   
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