We are wondering what screeners doctors are able to use. I did some digging and this is what I found: In the EPSDT manual (see attached), section 215.295 C, doctors are advised to use screeners recommended by the American Academy of Pediatrics (AAP). On the AAP website, there is a break down of the screeners and when they should be used. https://publications.aap.org/toolkits/resources/15625/Bright-Futures-Toolkit-Links-to-Commonly-Used On the AFMC website, scroll down to “Tools” and 3 basic screeners are listed for use in Arkansas. https://medicaid.afmc.org/medicaid-quality-improvement/developmental-screening#tools There is also a disclaimer that the AAP will NOT recommend one screener over another. The concern in our conversation is that a doctor had signed an evaluation script using the MCHAT screener (for autism). It is listed on the AAP website as referenced in the EPSDT manual.
We were told to accept what the doctor uses, that it wasn’t our responsibility to question what they used….…and that it couldn’t just be “EPSDT” or “Well Child” Michelle Bowlin michelle.bowlin@rocoh.org Yukiko, here is my thoughts, just for you and/or board, on this topic. I think this is a question for you to clarify with the state or CMS. Are EIDT’s, in any way, accountable for what the doctors decide to do?? Even if we know they are using the wrong (by what is stated in these regs) screening, it is not our place, nor are they likely to listen, to tell them they are wrong. Can we get the state or CMS, or whoever has the control of this, to give us a best practice answer? We, as providers, can speculate and try to educate doctors, but anybody that has done this long knows most doctors are not prone to listening to someone else telling them how to do their job.