Medi-Cal

CHADIS can provide pre-visit medical and behavioral health screening, track data, create quality improvement reports, and automatically provide relevant local and national resources to families.

Developmental Screening

All children enrolled in Medicaid are entitled to receive developmental screening as it is a required service for children under the Medicaid Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit.

 

Policy

• Effective Date: January 1, 2020

• Target Population: Children up to age 30 months (excludes those dually eligible for Medicare and Medi-Cal)

• Provider Types: All

• CPT Code: 961101 • Rate: $59.90

Here is a partial list of developmental questionnaires available with CHADIS.

 

Development - Screening

 

  • Ages & Stages Questionnaires®, Third Edition (ASQ-3™) (2 months - 60 months)

  • Developmental Milestones (all age categories)

  • Infant Development Inventory (IDI) (all categories)

  • Survey of Well-being of Young Children (SWYC)(All ages)

See a full list of developmental screening questionnaires.

Pregnant or Postpartum Recipients

  • Providers of prenatal care and postpartum care may submit claims twice per year per pregnant or postpartum recipient: once when the recipient is pregnant and once when she is postpartum.

Postpartum Depression Screening at Well-Child Visits

  • Providers of well-child care may submit claims for a maternal depression screening up to four times during the infant's first year of life. Bright Futures recommends screening for maternal depression at the infant's one-month, two-month, four-month and six-month visits, with referral to the appropriate provider for further care if indicated.

Recipients Who Are Not Pregnant or Postpartum

 

  • Screening for depression is reimbursable for recipients 12 years of age or older who are not pregnant or postpartum, once per year, per recipient, per provider 

Here is a partial list of depression questionnaires available with CHADIS.

  • Edinburgh Postnatal Depression Scale (EPDS)

  • Patient Health Questionnaire 2 (PHQ-2)

  • Patient Health Questionnaire 4 (PHQ-4)

  • Patient Health Questionnaire 9 (PHQ-9 for Adults)

  • Survey of Well-being of Young Children

See a full list of behavioral questionnaires available with CHADIS.

CA launches first-of-its-kind ACEs initiative; Beginning Jan. 1, 2020, Medi-Cal will begin paying for ACEs screenings

Policy

• Effective Date: January 1, 2020

• Provider Types: Medi-Cal providers; 

Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs), Cost-Based Reimbursement Clinic (CBRCs), and Indian Health Services (IHS)

HCPCS: G9919 - G9920 • Rate: $29

  • Children and adolescents under age 21: Permitted for periodic ACEs rescreening as determined appropriate and medically necessary, not more than once per year, per provider (per managed care plan).

  • Adults age 21 up to 65: Permitted once in their adult lifetime (up to age 65), per provider (per managed care plan). Screenings completed while member is under age 21 do not count toward the one screening allowed in their adult lifetime.

Here is a partial list of SDOH questionnaires available with CHADIS.

 

Childhood Experiences

 

  • Adverse Childhood Experiences (ACE)

  • Adverse Childhood Experiences and Positive Childhood Experiences (ACE/PCE)

Other Family Stress Questionnaires available with CHADIS

                         

Staying Healthy Assessment

The Staying Healthy Assessment (SHA) is the Department of Health Care Services’ (DHCS’s) Individual Health Education Behavior Assessment (IHEBA).

Here is the list of SHA questionnaires available with CHADIS.

  • DHCS 7098 A - Staying Healthy Assessment 0-6 Months

  • DHCS 7098 B - Staying Healthy Assessment 7-12 Months

  • DHCS 7098 C - Staying Healthy Assessment 1-2 Years

  • DHCS 7098 D - Staying Healthy Assessment 3-4 Years

  • DHCS 7098 E - Staying Healthy Assessment 5-8 Years

  • DHCS 7098 F - Staying Healthy Assessment 9-11 Years

  • DHCS 7098 G - Staying Healthy Assessment 12-17 Years (Teen Self Report)

  • DHCS 7098 H - Staying Healthy Assessment Adult

  • DHCS 7098 I - Staying Healthy Assessment Senior

EPSDT

 

 Medi-Cal covers preventive services recommended by three different national organizations:  (1) USPSTF; (2) ACIP; and (3) the Bright Futures/AAP.

Specialty Mental Health Services Performance Outcomes System Functional Assessment Tools for Children and Youth

CHADIS offers:

  • Pediatric Symptom Checklist (PSC-35)

  • Child and Adolescents Needs and Strengths (CANS)

 

to measure child and youth functioning, as intended by Welfare and Institutions Code Section 14707.5


Here is a partial list of questionnaires available with CHADIS.

Alcohol misuse:  screening and counseling

  • The Alcohol Use Disorder Identification Test (AUDIT)

  • The Alcohol Use Disorder Identification Test-Consumption (AUDIT-C)

Depression screening:  adolescents

  • Kutcher Adolescent Depression Screen (KADS)

  • Patient Health Questionnaire (PHQ-A)

Depression screening:  adults

  • Edinburgh Postnatal Depression Scale (EPDS)

  • Patient Health Questionnaire 2 (PHQ-2)

  • Patient Health Questionnaire 4 (PHQ-4) 

  • Patient Health Questionnaire 9 (PHQ-9 for Adults)

 

Falls prevention:  older adults

  • Falls Risk Assessment Tool (FRAT) 

Intimate partner violence screening:  women of childbearing age

  • Partner Violence Screen (PVS)  

CHADIS offers hundreds of screening, diagnostic and data collection tools and questionnaires including tools in every category advised by Bright Futures below and associated clinical decision support. 

CHADIS offers:

A Sports or Camp Physical Examination

  • Sports Participation Questionnaire

A History of Perinatal Problems

  • Pregnancy and Perinatal History

A History of Developmental Disability

  • Developmental History

 

Developmental Screening

  • Ages & Stages Questionnaires®, Third Edition (ASQ-3™) (2 months - 60 months)

  • Developmental Milestones (all age categories)

  • Infant Development Inventory (IDI) (all categories)

  • Survey of Well-being of Young Children (SWYC)(All ages)

 

Autism Spectrum Disorder Screening

  • Modified Checklist for Autism in Toddlers Revised (M-CHAT-R); Follow-Up Interview (M-CHAT-R Follow-Up) 

 

Psychosocial/Behavioral Assessment

  • Ages & Stages Questionnaires®: Social-Emotional, Second Edition (ASQ:SE-2™)

  • Pediatric Symptom Checklist 17-item Parent Version (PSC-17) and (PSC-35)

  • Early Childhood Screening Assessment (ECSA)

  • Survey of Well-being of Young Children (SWYC)

 

Tobacco, Alcohol or Drug Use Assessment

  • CHAMPS Youth Self-Report

  • CRAFFT+N Questionnaire Self Administered Version 2.1

Depression Screening

  • PRIME-MD PHQ-2 (PHQ-2)

  • Patient Health Questionnaire 4 (PHQ-4)

  • PHQ-9 for Adults 

  • Survey of Well-being of Young Children (SWYC)

Maternal Depression Screening

  • Edinburgh Postnatal Depression Scale (EPDS)

  • Survey of Well-being of Young Children (SWYC)

MOC - 4

Launch CHADIS as a quality improvement activity with MOC-4 built-in.

Quality Improvement Data & Reports

CHADIS can produce quality monitoring reports and registries for internal use by practices and providers.

Patient Communication & Care Coordination

CHADIS provides options for supporting a wide range of clinical processes.

CHADIS is multilingual. The main CHADIS interface can be viewed by patients in both English and Spanish with core questionnaires available in English, Spanish, Mandarin Chinese, and French.  Questionnaire results are shown to the clinician in English regardless of the language used to complete them.

For a full list of CHADIS questionnaires.