Enhancing Child Development Services in Medicaid Managed Care - A Best Clinical and Administrative Practices Toolkit for Medicaid - October 2005

Oct 13, 2026

Upload by Eliana

Enhancing Child Development Services in Medicaid Managed Care presents best clinical and administrative practices for health plans to strengthen early childhood screening, anticipatory guidance, and child development services. It outlines the BCAP Quality Framework, including rapid cycle improvement, measurement and evaluation, and sustainability. The toolkit addresses early identification through standardized developmental screening tools, member outreach strategies, provider partnership approaches, reimbursement for screening and testing, and referral tracking, concluding with return-on-investment insights and case studies.

LanguageEnglish

CategoryPresentations

FormatPDF

Pages66

Reading Time23 min

AccessFree to download

Preface and Acknowledgements

Foreword

Section 1: Enhancing Child Development Services in Medicaid Managed Care

The Need to Enhance Child Development Services

What are Child Development Services?

How Can Health Plans Improve Child Development Services?

Health Plan Incentives to Improve Child Development Services

Section 2: Enhancing Child Development Services Using the BCAP Quality Framework

BCAP Typology for Improvement

Rapid Cycle Improvement

Measurement and Evaluation

Sustainability and Diffusion

Section 3: Early Identiﬁcation Using Standardized Developmental Screening Tools

Ages and Stages Questionnaire

Parents’ Evaluation of Developmental Status

Section 4: Reaching Out to Members

Member Mailings

Member Incentives/Rewards

Learning from Members

Home Visits

Member Outreach Events

Section 5: Working with Providers

Reducing Administrative Burden and Improving Workﬂow

Targeting Providers for Maximum Impact

Provider Outreach

Section 6: Reimbursement for Developmental Screening and Testing

Section 7: Tracking Referrals

Section 8: Conclusion: What is the Return on Investment for Health Plans?

Section 9: Case Studies

Molina Health Plan of Michigan

BlueCross BlueShield of Tennessee

Lovelace Community Health Plan of New Mexico

Directory of Online Toolkit Resources

Enhancing Child Development Services in Medicaid Managed Care toolkit Best Clinical and Administrative Practices for Medicaid CHCS Center for Health Care Strategies, Inc. CHCS Center for Health Care Strategies, Inc. Enhancing Child Development Services in Medicaid Managed Care A Best Clinical and Administrative PracticesSM Toolkit for Medicaid About the Center for Health Care Strategies The Center for Health Care Strategies promotes high quality health care services for low-income populations and people with chronic illnesses and disabilities. We achieve this objective by providing training, technical assistance, and grant making to state purchasers of publicly ﬁnanced health care, health plans, and consumer groups. The Center’s program priorities are: improving quality, reducing racial and ethnic disparities, and increasing community options for people with disabilities. For additional copies Additional copies can be downloaded or ordered online [at](at www.chcs.org)[ www.chcs.org](at www.chcs.org)[ ](at www.chcs.org)[or by calling 609.895.8101](or by calling 609.895.8101) . Author Purvi Kobawala Smith, MS, MPH Center for Health Care Strategies Contributor Edward Schor, MD The Commonwealth Fund Contributing Editor Lorie Martin Center for Health Care Strategies Reviewers Melinda Abrams, MS The Commonwealth Fund Patricia Barta, MPH Jane Deane Clark, PhD Stephen A. Somers, PhD Center for Health Care Strategies Margaret L. Oehlmann, MS Association for Community Afﬁliated Plans Design Nancy Biddle Biddle Design Copyright ©2005 Center for Health Care Strategies Enhancing Child Development Services in Medicaid Managed Care A Best Clinical and Administrative Practices Toolkit for Medicaid October 2005 Table of Contents Preface and Acknowledgements ........................................2 Foreword ..........................................................3 Section 1: Enhancing Child Development Services in Medicaid Managed Care ...5 • The Need to Enhance Child Development Services ...................5 • What are Child Development Services? ............................7 • How Can Health Plans Improve Child Development Services?.......... 9 • Health Plan Incentives to Improve Child Development Services ........ 9 Section 2: Enhancing Child Development Services Using the BCAP Quality Framework ........................................... 13 • BCAP Typology for Improvement ................................13 • Rapid Cycle Improvement ......................................14 • Measurement and Evaluation ....................................15 • Sustainability and Diffusion .....................................15 Section 3: Early Identiﬁcation Using Standardized Developmental Screening Tools .................................................... 17 • Ages and Stages Questionnaire ...................................19 • Parents’ Evaluation of Developmental Status .......................20 Section 4: Reaching Out to Members ...................................23 • Member Mailings ..............................................24 • Member Incentives/Rewards .....................................25 • Learning from Members ........................................25 • Home Visits ..................................................27 • Member Outreach Events .......................................29 Section 5: Working with Providers .....................................31 • Reducing Administrative Burden and Improving Workﬂow ............31 • Targeting Providers for Maximum Impact ..........................34 • Provider Outreach .............................................34 Section 6: Reimbursement for Developmental Screening and Testing .........37 Section 7: Tracking Referrals ..........................................39 Section 8: Conclusion: What is the Return on Investment for Health Plans? ......43 Section 9: Case Studies

FAQs

What is the purpose of the toolkit for Medicaid managed care organizations?

It provides best clinical and administrative practices to improve early childhood screening and anticipatory guidance, strengthening how health plans deliver child development services.

How does the toolkit use the BCAP Quality Framework?

It explains a typology for improvement and approaches such as rapid cycle improvement, measurement and evaluation, and sustainability and diffusion.

What strategies does the toolkit recommend for early identification and outreach?

It supports early identification using standardized developmental screening tools and outlines member outreach methods such as mailings, incentives, learning activities, home visits, and outreach events.

Oct 13, 2026

Upload by Eliana