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.
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