Early identification of children at risk for developmental delays is an integral function of the primary care medical home. The American Academy of Pediatrics (AAP) recommends conducting developmental surveillance at every health supervision visit and conducting general developmental screening using evidence-based tools at 9, 18, and 30 months, or whenever a concern is identified. In addition, autism-specific screening is recommended at ages 18 and 24 months, and social-emotional screening is recommended at regular intervals.
In Vermont, primary care providers are required to use a standardized screening tool. Preferred screening tools are included in Vermont’s universal developmental screening (UDS) registry, a statewide data collection and communication system for screening results. As part of the Help Me Grow Vermont system, the registry allows screening results to be securely shared between medical homes, early care and education, and other community service providers to improve early identification of risks and delays to ensure that children and families are linked to appropriate services and developmental supports.
For specifics on reimbursement for developmental screening, go to the CMS 1500 Supplement in the Provider Manual