Reimbursement and Coding

Posted on: January 4, 2011

Illinois Medical Home Project

A medical home is an approach to providing primary care that is accessible, continuous, comprehensive, family-centered, coordinated, compassionate, and culturally effective. In a medical home, the primary care team develops a trusting relationship with the family and works as a partner to assure that all of the child’s needs are met.

Through its medical home initiatives, ICAAP works with individual physicians, primary care practices, and community and state agencies to support the dissemination and implementation of the medical home model, with a focus on improving services for children with special health care needs. The “Coordinating Care Between Early Intervention and the Primary Care Medical Home” initiative aims to overcome barriers to referral and care coordination for children eligible for EI services by improving communication among primary care practices, Child and Family Connections staff, and families.

Reimbursement and coding guidelines are linked below:

Billing for Screenings Under the Healthy Kids Program

Update on Illinois Health Connect: Focusing on Quality Assurance

Developmental Screening/Testing: Coding Fact Sheet for Primary Care Pediatricians 

Developmental Screening and Referral Coding

For more information about the Coordinating Care project, please contact:

Jodie Bargeron, MSW, LSW
Manager, Medical Home Initiatives
Illinois Chapter, AAP
1400 W. Hubbard, Suite 100
Chicago, IL 60642
E-mail: jbargeron@illinoisaap.com
Phone: 312/733-1026 ext 209
Fax: 312/733-1791