Infant-early childhood mental health services

Background

Approximately 1 in 5 young children has a diagnosed mental, behavioral, or developmental disorder (Vasileva et al., 2021). These disorders, if properly identified, can be treated with infant-early childhood mental health (IECMH) services, which are designed to alleviate the distress and suffering of a young child’s mental health problem and support the return to healthy development and behavior, by enhancing the quality of the caregiver-child relationship. IECMH treatment services are highly effective and offer a strong return on investment; every dollar spent on IECMH treatment services can yield $8.00-$15.00 in savings per child (Oppenheim & Bartlett, 2022). Mental health providers contracted with Apple Health (Medicaid) can provide mental health treatment services to children birth through age five and their families.

Contracting and billing for behavioral health services can be a complex process in general, and services for infant-early childhood mental health (IECMH) treatment, a newer concept for care, can feel even more complex. To support providers in this work, HCA and their partners currently offer multiple resources, tools, and opportunities for connection.

IECMH office hours

The Health Care Authority (HCA) IECMH team offers quarterly virtual office hours to support providers and agencies on topics related to IECMH and Apple Health (Medicaid). This is a time for providers to build connections, ask questions, and discuss additional IECMH needs.

MHAYC Provider Spotlight Series

A top request from providers during the IECMH Statewide Tour was more opportunities to share and learn from other providers Washington state. In recognition of the complexity of implementing new policies and programs, HCA committed to hosting a Provider Spotlight series as a part of our quarterly IECMH Office Hours.

Because Mental Health Assessment for Young Children (MHAYC) can involve a lot of different pieces across your organizations, this year’s Provider Spotlight series will support providers like you in putting the puzzle together. Each Provider Spotlight will focus on different aspects of implementation, and feature organizations who are putting it into practice. Register today!

Are you exploring how to build out services for young children? Have you had trials and errors incorporating IECMH at your organization? We want to hear about your experiences and what you’ve learned, even if there have been bumps along the way. Reach out to Christine Cole to talk through ways you can get involved.

Slides from past IECMH office hours

• April 2024 office hours
• July 2023 office hours
• April 2023 office hours
• January 2023 office hours
• October 2022 office hours

IECMH toolkit

In response to questions and feedback from the provider community, HCA's IECMH team has developed a toolkit on service models for providing IECMH services through Apple Health. The Apple Health Infant-Early Childhood Mental Health Service Models Toolkit covers:

• (New!) Core service elements of IECMH treatment
• Avenues to provide mental health services and bill Apple Health for these services
• Requirements to become a licensed mental health provider or behavioral health agency (BHA) with Department of Health (DOH)
• Additional resources and supports

Check out the Apple Health Infant-Early Childhood Mental Health Service Models Toolkit.

Mental Health Assessment for Young Children (MHAYC)

When providing mental health treatment services, mental health professionals first conduct a mental health assessment (i.e., Psychiatric Diagnostic Evaluation or Intake Evaluation) to identify needs and establish whether a child meets medical necessity criteria. For children birth through age five, the DC:0-5™ is the developmentally appropriate tool for assessment and diagnosis. To find resources about billing for mental health assessment for young children and using the DC:0-5™, please visit the Mental Health Assessment for Young Children webpage for providers.

Other IECMH resources

Additional resources to support providers in aligning with Apple Health (Medicaid) policies and procedures for infant-early childhood mental health treatment services.

Evidence-based practices

The use of high-quality psychotherapy services, or evidence-based practices (EBP), for children is reported using EBP codes submitted as part of routine Apple Health (Medicaid) billing data. The current EBP Reporting Guide outlines eligible training entities and documentation requirements for evidence based Infant Mental Health treatment.

WISe Birth through Five (B-5)

Mental health providers contracted with Apple Health (Medicaid) can provide intensive mental health treatment services, including WISe (or Wrap-around with Intensive Services) to children birth through age five and their families. Because intensive mental health services for young children is a newer concept for care, additional resources about this topic are available on the WISe webpage for providers.

Emotional Health of Babies and Toddlers flyers

This set of flyers is about the basics of emotional health for babies and toddlers, and how we all can play a role in supporting families of young children. These flyers are designed for either print or digital dissemination, with customized content for different audiences, including behavioral health, child welfare, early learning, and health care providers.

The flyers were codeveloped by the Barnard Center for Infant Mental Health, the Washington Association for Infant Mental Health, The Practice Northwest, the Department of Children, Youth, and Families, and the Health Care Authority, with support from Zero To Three.

Download or print the flyers

• Emotional health for babies and toddlers - behavioral health (digital)
• Emotional health for babies and toddlers - behavioral health (print)
• Emotional health for babies and toddlers - child welfare (digital)
• Emotional health for babies and toddlers - child welfare (print)
• Emotional health for babies and toddlers - early learning (digital)
• Emotional health for babies and toddlers - early learning (print)
• Emotional health for babies and toddlers - health care (digital)
• Emotional health for babies and toddlers - health care (print)

B-5 at BHAs presentation

In June 2023, the HCA IECMH team presented at the Washington Behavioral Health conference about infant-early childhood mental health best practices and opportunities for behavioral health agencies. These slides are a useful tool for anyone interested in providing mental health services to young children and families.

IECMH reports and data

As outlined in HCA's data strategy, data is one of HCA's most valuable assets, helping us understand strengths and challenges, holding us accountable, and informing our efforts to champion health equity. The HCA IECMH team is committed to gathering, examining, and sharing information about our work in partnership with communities, providers, and families.

Visit our new IECMH Data and Reports webpage to find data, read reports, and more, including our recently released IECMH Statewide Tour report.

IECMH updates

HCA wants to make sure you’re informed about our infant-early childhood mental health work. Subscribe to the Prenatal through Age 25 behavioral health mailing list to get the latest bulletin updates. Starting May 2023, you can also subscribe to receive our monthly Prenatal – Five: Grow & Thrive newsletter.

Recent bulletins and newsletters are linked below; older items are available upon request.