Thank you for your interest in training to use the Parent’s Evaluation of Developmental Status (PEDS) Tool. Through a recommendation by the Arizona Chapter of the American Academy of Pediatrics, AHCCCS has chosen this validated screening tool for use in screening young children for developmental delays and disabilities. AHCCCS has recognized the additional work necessary to incorporate this tool into routine EPSDT visits by adding a payment of $29.70 for its use.
Please bill-using code: 96110 with an EP modifier.
To evaluate the efficacy of using the tool in an office setting, as well as the accessibility of referral services, payment for the use of the PEDS Tool will be limited to those infants born after January 1, 2006 who have had stays in the Newborn Intensive Care Unit. (NICU) and for CMDP members only the tool may be used to screen infants and children (up to the age of 8), who are at-risk or identified as having developmental delays. These children may be screened at each EPSDT visit. Providers who bill for this service must demonstrate that they have completed a brief training on the use of the tool and must submit the PEDS Tool Score Form and the PEDS Tool Interpretation Form with the EPSDT for reimbursement of services.
You and your staff can utilize an on-line PEDS Tool training session on the website under the PEDS heading. This will trigger AzAAP to alert AHCCCS and the AHCCCS health plans that you have completed the training. After completion, you may start to bill CMDP for use of the tool.
Information on the PEDS Tool and how to order hard copies of the PEDS tool for use in your office or clinic is available online. Providers should be aware that making photocopies of the PEDS tool is a violation of copyright law. The cost of the tool as well as the time to administer the tool has been accounted for by AHCCCS in the reimbursement. Providers will be required to submit photocopies of the PEDS score and interpretation form to CMDP in the same manner that the EPSDT forms are currently submitted.
If you should have any questions or concerns please contact Diane Tasev, R.N. at 602-351-2245 or (800) 201-1795.