Assuring Better Child Health and Development Resource Center
spacer image
line decor
   -----------------------------------An initiative of the National Academy for State Health Policy
line decor
spacer image


 
 An Initiative of:
 
 National Academy for State Health Policy

The Commonwealth Fund

spacer image spacer image
 
North Carolina Resources: Paying for Improvements

As the result of the ABCD project, the North Carolina Medicaid agency adopted a policy requiring practices to use a standardized screening tool at scheduled well-child visits. The project developed a guide to coding and reimbursement procedures to assist with policy implementation.

This section contains resources for "Paying for Improvements" developed by North Carolina.


  • Coding and Reimbursement Developmental Screening
    North Carolina ABCD I Project.(2003). Description of coding and reimbursement procedures for various public and private payors.
    http://www.nashp.org/loadedfiles/Guide%2004%20Reimbursement.pdf

  • 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.
    Part III-billing&policyTA.ppt

  • Health Check Billing Guide 2006
    North Carolina Department of Health and Human Services. (April 2006). Available online at: http://www.dhhs.state.nc.us/dma/bulletin/HealthCheck0406.pdf. This guide describes billing procedures for North Carolina's Health Check program. It clarifies that the use of an objective screening tool is encouraged for EPSDT screens (see page 5).
    http://www.dhhs.state.nc.us/dma/bulletin/HealthCheck0406.pdf


spacer image
   
   
spacer image

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

 
 
   
Copyright 2007 National Academy for State Health Policy
50 Monument Square, Suite 502
Portland, Maine 04101
Phone: (207) 874-6524
Fax: (207) 874-6527

1233 20th Street, NW, Suite 303
Washington, DC 20036
Phone: (202) 903-0101
Fax: (202) 903-2790

Totally Valid XHTML 1.0