Dr. John Duby, in his role as medical director of the BMW Project, created this handout for pediatricians to provide to their families. The tips from this handout is also incorporated into the BMW Flip Chart, which can be found here.
Dr. John Duby, in his role as medical director of the BMW Project, created these two handouts for pediatricians to provide to their families. The tips from these handouts were also incorporated into the BMW Flip Chart, which can be found here.
This is a document created by Dr. John Duby as a resource for practices participating in the Building Mental Wellness (BMW) Learning Collaborative.
The Flip Chart contains talking points for both physicians and patients/families.
“Advances in fields of inquiry as diverse as neuroscience, molecular biology, genomics, developmental psychology, epidemiology, sociology, and economics are catalyzing an important paradigm shift in our understanding of health and disease across the lifespan. This converging, multidisciplinary science of human development has profound implications for our ability to enhance the life prospects of children and to strengthen the social and economic fabric of society…. Pediatrics 2012;129:e232–e246”
Screening for developmental delays is important. Getting reimbursed for those screens is also important.
Medicaid is able to reimburse for developmental screening through the 96110 code. Other reimbursement rates depend on the insurance provider, some of whom will not reimburse for developmental screening. If you come across insurance providers who will not reimburse for developmental screening, please e-mail, Jonathan Price, Chair of the Ohio AAP Pediatric Care Council.
The American Academy of Pediatrics is working to improve reimbursement rates for these essential screens. You can help be part of the solution through the following links.
- American Academy of Pediatrics Developmental Surveillance and Screening Recommendations: How to Get it Done in Practice
- Template Letter: Appeal to Payers for Payment
- AAP Letter: AAP Notifies National Payers Regarding Developmental Screenings
- AAP Letter: Developmental Screening and Testing
- Developmental Screening/Testing Coding Fact Sheet for Primary Care Providers
Preparing For Your Appointment
Your pediatrician is your partner in ensuring that your child grows and develops into a healthy child. To make the most of this partnership, follow the steps below.
Before your appointment:
- Review a list of typical developmental milestones for your child’s age group, fill it out, and bring it to your appointment to discuss with your doctor. Make notes about your child’s behaviors/milestones so that you do not forget important details during the discussion.
- If your child is exhibiting behaviors that have you concerned, videotape them and bring the video to your appointment (using the camera on your cell phone is an easy way to do this).
- Prepare a list of questions to ask the doctor related to your concerns, such as: - Should we see a specialist to help us in further reviewing the issue? - What resources are available locally to help me with this? - What is our next step as a team to help my child?
During your appointment, be sure to:
- Refer to your checklist and notes during the discussion so you do not forget to share important details.
- Be honest with your doctor and be sure to answer all of his/her questions as thoroughly as you can. Even the smallest detail may be important in ensuring your child receives a proper screening/diagnosis.
- Take notes about the doctor’s recommendations and observations so that you can refer back to those notes at a later time or during future screenings/appointments.
After your appointment:
- Follow your doctor’s recommendations and be sure to keep follow-up appointments.
- Continue to monitor your child’s development and contact your doctor if additional concerns arise.
- Do additional research about any delays that may have been identified during the screening. Remember: the best resource to you is your pediatrician.
The below list of Child Development Milestones was created by the Centers for Disease Control and Prevention and was used as part of the Chapter’s Concerned About Development Learning Collaborative (CADLC). For more information about the project, visit the CADLC page.
The handouts are available in both English and Spanish.