Sustainability
Identifying and securing sustainable funding is a critical part of successfully implementing the HealthySteps model. Sustaining the program over time can require braiding together a diverse set of funding mechanisms to support initial and ongoing programmatic costs.
The HealthySteps National Office has developed the following resources to support sustainable funding for HealthySteps sites across the country. If you have any questions, please contact [email protected].
Billing & Coding
- HealthySteps Billing and Coding Opportunities – Pathways to Reimbursement
- Medical Claims 101: How to Avoid Common Denial and Rejection Pitfalls for HealthySteps Services
- Family Psychotherapy Coding and Documentation
- Social Determinants of Health ICD_10 Z Codes with Descriptions
- Health and Behavior Assessment and
Intervention Codes - Tips for Implementing a Newly Published Medical Billing Code
- Informed Consent, Documentation and Billing
- General Behavioral Health Integration, Targeted Case Management, and General Case Management
Making the Business Case
- HealthySteps Return on Investment – Overview of the short-term Medicaid cost-savings that HealthySteps interventions drive, including a one-page handout.
- Return on Investment Calculator (proprietary resource for HealthySteps sites) – Designed to help HealthySteps sites understand and demonstrate how the services provided by HealthySteps Specialists to children and their caregivers can drive short- and long-term cost-savings for their state (including state Medicaid). Developed in collaboration with Manatt Health.
- Cost Neutrality Tool (proprietary resource for HealthySteps sites) – Helps sites demonstrate revenue potential based on the types of HealthySteps and HealthySteps-aligned services they provide and their unique payment rates negotiated with payers.
Other Resources
- Sustainability Planning Tool (proprietary resource for HealthySteps sites)
- Webinar: HealthySteps Financing (proprietary resource for HealthySteps sites)
- Behavioral Health Prevention Reimbursement Opportunities
- APM Framework for HealthySteps
- Considerations for Payers and Policymakers: HealthySteps and Collaborative Care Model Billing Structures
- Sustaining HealthySteps: States’ Approaches to Financing an Evidence-based Model for Healthy Early Childhood Development
HealthySteps Sustainability Technical Assistance Opportunities
