State Strategies for Promoting Children’s Preventive Services

*Map and chart updated as of September 28, 2016*

States have the option of implementing performance measurement, incentives or improvement projects, often as part of broad health system transformation efforts, to promote children and adolescents’ access to preventive services. This series of maps and accompanying chart illustrate state-specific Medicaid or CHIP performance improvement projects, measures, or incentives promoting children’s preventive services, such as those recommended by the American Academy of Pediatrics’ Bright Futures guidelines. The series reflects: managed or accountable care performance improvement projects; managed care performance measures; metrics or incentives in statewide Medicaid system transformation (e.g., patient-centered medical home, accountable care initiative); other financial incentives, including pay for performance and bonus payments beyond traditional reimbursement; and non-financial incentives. Measures, projects and incentives fall into six categories of services: behavioral health screenings; weight assessment; lead screening, immunizations; preventive oral health services; and well visits for children and adolescents.

This map set and chart is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number UC4MC28037 Alliance for Innovation on Maternal and Child Health ($349,975). The information or content and conclusions are those of the researchers and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.

More Information

As of September 2016:
•  Well child/adolescent care (37 states) and immunizations (29 states) are the most commonly measures or incentivized preventive services.
•  Two-thirds of states have an activity in at least three of the six categories, and four states (FL, KY, MN, AND TN) have an improvement project, incentive, or measures for all six service categories.
•  Over 75% of states have implemented at least one improvement project, incentive or measurement strategy within managed care (39 states)
•  Performance improvement projects are the most common strategy (32 states)
•  Some states use more unique methods such as DE, GA, NY, and OH, who all incorporate performance on pediatric preventive service measures into managed care auto-assignment algorithms.

We hope these maps and downloadable 50-state chart will be valuable resources to states as they continue to look at strategies to improve screening or well-visit rates. Know of something we should add to this compilation? Does your state have a new incentive, measure, or improvement project in place? Your feedback is central to our ongoing, real-time analytical process, so please email aking@nashp.org with any feedback, additions, or edits.

The information for these resources was drawn from a number of sources include state websites and publications, and CMS reports. NASHP made efforts to confirm all information directly with states. The Health Resources and Services Administration supported these resources as a part of the Alliance for Innovation in Maternal and Child Health.

Acronym Key
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State Medicaid or CHIP improvement projects, performance measures, or incentives for autism screening, behavioral/social-emotional screening, and adolescent depression, tobacco or substance use screening