MCAS Measure DEV-Developmental Screening in the First Three Years of Life
| Date: | March 4, 2022 |
| To: | Health Plan of San Joaquin (HPSJ) Practitioners, Providers & Facilities |
| From: | HPSJ Quality Management Department |
| Subject: | MCAS Measure DEV-Developmental Screening in the First Three Years of Life |
| Business: | Medi-Cal Managed Care |
Please review the Developmental Screening (DEV) Measure below:
Measure Definition
Patients screened for at risk developmental, behavioral, and social delays using a standardized screening tool in the 12 months preceding or on their first, second, or third birthdays.
Medical Record Documentation Best Practices
- Documentation in the medical record should include all the following:
- A note indicating the date the test was performed
- A standardized tool recognized by Bright Futures and the American Academy of Pediatrics (https://publications.aap.org/toolkits/resources/15625/)
- Evidence of a screening result or screening score
- Please note that Bright Futures and the AAP recommend General Developmental Screening in addition to Autism Spectrum Disorder screening. As such, the Modified Checklist for Autism in Toddlers (MCHAT) is not on the list of accepted general developmental screening tools. Please see the following for more information:
- https://publications.aap.org/pediatrics/article/145/1/e20193449/36971/Promoting-Optimal-Development-Identifying-Infants
- https://brightfutures.aap.org/Bright%20Futures%20Documents/MSRTable_InfancyVisits_BF4.pdf and https://brightfutures.aap.org/Bright%20Futures%20Documents/MSRTable_ECVisits_BF4.pdf
- https://files.medi-Cal.ca.gov/pubsdoco/publications/mastersmtp/part2/prev.pdf page 16.
Coding your Claims and Encounters
DEV is an administrative measure and data can only be collected through claims and encounter data. It is important that you ensure you have coded all your claims and encounters for your patients’ visits to the highest level of specificity.
| Code | Type Code | Definition |
|---|---|---|
| CPT | 96110 | Developmental Screening |
If you have any questions, please contact your Provider Services Representative, or call our Customer Service Department at 1-888-936-PLAN (7526).