- HealthySteps is an evidence-based interdisciplinary programme promoting positive parenting and infant and toddler health in underserved communities.
- Quality improvement used clinician education and EMR interventions to increase Medicaid H0025 utilisation from 0% to a 70% target within 12 months.
- Billing reached 73% of eligible encounters during the study and 88% by intervention end, showing H0025 can partially sustain HealthySteps financially.
Clin Pediatr (Phila). 2026 Sep 24:99228261489176. doi: 10.1177/00099228261489176. Online ahead of print.
ABSTRACT
HealthySteps is an evidence-based, interdisciplinary program that promotes positive parenting as well as the health and well-being of infants and toddlers, specifically in underserved communities. In Maryland, Medicaid provides enhanced reimbursement for recognized HealthySteps services under code H0025. This quality improvement initiative evaluated whether implementing the use of H0025 could support the financial sustainability of HealthySteps in an academic, hospital-based primary care practice, aiming to increase H0025 utilization from 0% to 70% within 12 months. Targeted clinician education and electronic medical record-based interventions were implemented using quality improvement methods. During the study period, 73% of eligible encounters were billed using H0025, with utilization rising to 88% by the end of the intervention. We conclude that enhanced reimbursement through H0025 can partially support a HealthySteps program.
PMID:42786676 | DOI:10.1177/00099228261489176
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