Committed to improving the health and well-being of all people across every state.

Developmental Screening

Early identification and treatment of children at risk for developmental delay is critical to helping them achieve their full potential in life.

The foundation for all aspects of a child’s healthy development (physical, behavioral, cognitive, and social/emotional) is laid during the first three years of life. Fortunately, a child’s developmental trajectory is dynamic. Children learn from every interaction, so developmental interventions, when offered early, can support healthy development, help to prevent developmental delay, and prepare children for school and a lifetime of well-being. Learn more about developmental screening.

Below are two maps that highlight state Medicaid policies around developmental screening reimbursement and screening tools.

Policy Trends

Medicaid Fee for Service Reimbursement for Developmental Screening

  • Nearly all (47) states reimburse Current Procedural Terminology (CPT) code 96110 for developmental screening.
  • One state (New York) does not reimburse 96110, but recommends developmental screening as part of EPSDT well child visits.
  • Medicaid fee-for-service (FFS) reimbursement rates for 96110 range from $5 to $80.
  • One state (Connecticut) uses a modifier with 96110 to indicate whether a screening was positive or negative.
  • At least six states (ME, MN, MS, PA, TX, and WI) also use 96110 for autism screening and require the use of a modifier to distinguish the screening type.

State Medicaid Recommendations and Requirements for Developmental Screening Tools

  • Thirty-five states require or recommend specific screening tools for developmental screening as part of a well-child visit.
  • Sixteen states do not recommend or require the use of specific developmental screening tools.

Sources: State Medicaid websites and direct communication with state Medicaid officials

Accurate as of January 2021

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