Iowa clarified that providers may use the DC 0-3 diagnosis classification system to diagnose young children, crosswalk that diagnosis to a DSM diagnosis, and bill Medicaid for treatment services. The Medicaid program clarified that providers (including primary care providers) who use an objective developmental screening tool as part of well child care can bill under CPT code 99420 and that follow-up services for diagnosis that are not specifically covered by their contracted behavioral health organization (BHO) may be billed to Medicaid through the fee-for-service system.

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

• ABCD II Early Identification System Standards: Board Approved Recommendations for Implementation in the Demonstration Sites
  Iowa ABCD Project (January 2005) Formal guidelines for implementation of standardized screening and referral practices used in demonstration sites and to be considered in the eventual development of a statewide system.
  Appendix 4 -1-05 Final Identification System Recs.doc

• Billing Codes for Iowa’s EPSDT Care for Kids Services
  Iowa Department of Human Services. Available online at: http://www.iowaepsdt.org/Services/BillingCode.htm#screening. This EPSDT Care for Kids website section contains billing code information. 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 (see
  http://www.iowaepsdt.org/Services/BillingCode.htm#screening

• Billing Codes for Iowa's EPSDT Care for Kids Services
  Iowa Department of Human Services. Available online at: http://www.iowaepsdt.org/Services/BillingCode.htm#screening. This EPSDT Care for Kids website section contains billing code information. 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 (see
  http://www.iowaepsdt.org/Services/BillingCode.htm#screening