Minnesota Medicaid clarified that providers (including primary care providers) who use a standardized developmental screening tool may bill for that service under CPT code 96110. Medicaid now instructs providers to attach a modifier (UC) to this code to indicate a mental health screen (distinct from a general developmental screen). Health Plans are developing a common message on coverage and billing across payers; incentives offered for use of screening tool, and inclusion in contracts for 2007.

This section contains resources for "Identifying Children and Families at Risk" developed by Minnesota.

• Developmental Screening of Young Children in Minnesota, website
  Minnesota Department of Health. (2006). This resource, Minnesota’s multi-agency Developmental Screening website, was funded and developed by collaborating state agencies in Minnesota in an effort to support and spread standardized developmental screening in Minnesota.
  http://www.health.state.mn.us/divs/fh/mch/devscrn/

• Introduction to the DC: 0-3™ Diagnosing Mental Health and Developmental Disorders in Very Young Children, Training agenda
  Molly Romer Witten. (Minnesota ABCD Project, Tuesday, April 26, 2005). This interactive session introduces mental health practitioners and other interested professionals to the DC:0-3R, a system for diagnosing the mental health and developmental disorders of very young children.
  flyer2.doc

• Emotional-Behavioral Screening by Primary Care Practitioner: Attitudes, Practices, and Barriers
  Katherine Murray, Andrew Barnes, Marjorie Ireland, et al. (Minnesota ABCD Project, 2006). This study assesses the specific techniques and instruments primary care pediatricians and family practitioners use to detect emotional and behavioral problems and describes their beliefs about the prevalence of these problems and barriers to universal screening. (From Abstract.)
  Em_Beh_Screening_final_draft.doc

• Central Pediatrics, St. Paul, Mental Health Screening for Primary Care, flowchart
  Central Pediatrics, St. Paul, Minnesota. (April 12, 2006). This resource provides a visual model for practice redesign to support incorporating mental health screening into clinic processes.
  Clinic process flowchart 4-12-06.doc

• Quarterly Screening Form
  Foundations for Success. (Minnesota ABCD Project, 2006). This form was used by pilot sites to track and report screening rates and outcomes.
  2005-2006 Revised screening outcomes form.doc

• Improving the Recognition and Management of Pediatric Psychosocial Problems in Primary Care
  Iris Borowsky. (University of Minnesota, April 15, 2004). Presentation about improving the recognition and management of pediatric psychosocial problems in primary care
  Borowsky - Handout.ppt

• C&TC Screening Components Standards and Guidelines
  Minnesota Department of Human Services (November 2006). Available online at: http://edocs.dhs.state.mn.us/lfserver/Legacy/DHS-4813A-ENG. This document identifes the required standards for C&TC (Child and Teen Checkups) components, and guidelines to assist providers with C&TC documentation. It clarifies that the use of a standardized tool is required for EPSDT screens (see page 5).
  http://edocs.dhs.state.mn.us/lfserver/Legacy/DHS-4813A-ENG

• Partners and Providers Page, MHCP Provider Manual, Children’s Therapeutic Services and Supports (CTSS)
  This section of the Minnesota Health Care Programs Manual details the CTSS program, including eligibility requirements and covered services. Minnesota improved program coverage by creating CTSS, which provides mental health services to children with an emotional disturbance.
  http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=id_058361

• Developmental and Social-Emotional Screening of Young Children in Minnesota
  Minnesota Department of Health (2007) The Minnesota Developmental Screening Task Force developed criteria for seelcting standardized developmental screening tools in primary care practices. This is a link to the description of the criteria the task force developed.
  http://www.health.state.mn.us/divs/fh/mch/devscrn/criteria.html

• Rationale for using tools other than the Denver II (DDST-II) for screening children
  Minnesota Department of Health (2007) Minnesota does not require any particular instrument in their EPSDT program. However, they have made it clear in policy that in order to bill a 96110 code they expect that a standarized, validated tool is used. Minnesota posted on their Developmental Screening Task Force web site a summary describing for readers why the Denver does not make the list of recommended tools. It is a useful explanation which has helped a lot of providers in Minnesota to understand why they should move on to better instruments.
  http://www.health.state.mn.us/divs/fh/mch/devscrn/faq.html#denver

• Letter announcing referral tracking card
  Minnesota ABCD Screening Academy Project (2008). Letter to providers describing Minnnesota's referral tracking card: a small card attached to each screening tool that provides a space to mark if the child (or caregiver) was referred for developmental and/or mental health screening or maternal depression screening.
  MN Attachment V - Letter for Referral Tracking_MN.doc

• Child Development Review Parent Questionnaire (CDR-PQ)
  Minnesota Department of Health (2007) Profile of and relevant information on the Child Development Review Parent Questionnaire.
  http://www.health.state.mn.us/divs/fh/mch/devscrn/instr/cdr.html

• Sample Referral Tracking Cards
  Minnesota ABCD Screening Academy Project (2008). Minnesota developed two sample cards for tracking referrals: one for ASQ and ASQ:SE, the other for maternal depression screening with the Edinburgh tool.
  MN Attachment VI - Example Referral Tracking Cards_MN.doc