{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T14:57:36Z","timestamp":1790521056289,"version":"4.1.0"},"reference-count":11,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:00:00Z","timestamp":1790208000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Substance Abuse Mental Health Services Administration\u2019s National Child Traumatic Stress Initiative","award":["1H79SM082782-01"],"award-info":[{"award-number":["1H79SM082782-01"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Pediatr (Phila)"],"abstract":"<jats:p>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.<\/jats:p>","DOI":"10.1177\/00099228261489176","type":"journal-article","created":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T04:54:46Z","timestamp":1790312086000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Using Enhanced Rates to Support and Financially Maintain a HealthySteps Program at an Academic Primary Care Practice"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9132-6668","authenticated-orcid":false,"given":"Mutiat T.","family":"Onigbanjo","sequence":"first","affiliation":[{"name":"Department of Pediatrics, University of Maryland School of Medicine, Baltimore, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1953-6118","authenticated-orcid":false,"given":"Kathleen","family":"Connors","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Maryland School of Medicine, Baltimore, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-6361-534X","authenticated-orcid":false,"given":"Rebecca","family":"Vivrette","sequence":"additional","affiliation":[{"name":"Child Trends, Inc., Rockville, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9032-4804","authenticated-orcid":false,"given":"Sarah M.","family":"Edwards","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Maryland School of Medicine, Baltimore, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,24]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.290.23.3081"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1037\/cpp0000060"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/milmed\/usac372"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2008-1376"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1353\/foc.2019.0007"},{"key":"e_1_3_3_7_2","unstructured":"HealthySteps National Office Policy and Finance Team. Financing opportunities to support integrated behavioral health promotion and prevention services. Accessed November 24 2023. https:\/\/www.njhcqi.org\/wp-content\/uploads\/2023\/02\/Behavioral-Health-Prevention-Reimbursement-Opportunities_FINAL.pdf"},{"key":"e_1_3_3_8_2","unstructured":"2026 Maryland Assistance Program Professional Services Provider Manual. Accessed November 24 2003. https:\/\/health.maryland.gov\/mmcp\/provider\/Documents\/2026-Professional-Services-Provider-Manual.pdf"},{"key":"e_1_3_3_9_2","unstructured":"Guyer B Barth M Bishai D et al Healthy Steps: the first three years: the Healthy Steps for Young Children Program National Evaluation. Women\u2019s and Children\u2019s Health Policy Center Department of Population and Family Health Sciences Johns Hopkins Bloomberg School of Public Health. Published February 28 2003. Accessed September 8 2026. https:\/\/www.healthysteps.org\/wp-content\/uploads\/2025\/01\/2003-National-Evaluation-Report.pdf"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2013-001862"},{"key":"e_1_3_3_11_2","unstructured":"Evidence Summary. HealthySteps improves the lives of young children and families. ZERO TO THREE. Accessed November 14 2023. https:\/\/www.healthysteps.org\/resource\/healthysteps-outcomes-summary\/https:\/\/health.maryland.gov\/mmcp\/Documents\/2023%20Professional%20Services%20Provider%20Manual.%20Effective%201.1.2023%20updated%208.31.23.pdf"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.4103\/jehp.jehp_320_24"}],"container-title":["Clinical Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00099228261489176","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00099228261489176","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00099228261489176","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T14:32:39Z","timestamp":1790519559000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00099228261489176"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,24]]},"references-count":11,"alternative-id":["10.1177\/00099228261489176"],"URL":"https:\/\/doi.org\/10.1177\/00099228261489176","relation":{},"ISSN":["0009-9228","1938-2707"],"issn-type":[{"value":"0009-9228","type":"print"},{"value":"1938-2707","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,24]]},"article-number":"00099228261489176"}}