NASHP

State Strategies to Promote Children’s Preventive Services

Map and chart updated March 2020*

States implement a variety of performance measurement, incentive, and improvement programs to promote children’s access to preventive services. These maps and chart illustrate state-specific Medicaid or Children’s Health Insurance Program initiatives that promote children’s preventive services, including those recommended by the American Academy of Pediatrics’ Bright Futures guidelines. These resources highlight:

  •  Managed care performance improvement projects and measures;
  • Metrics or incentives used by statewide Medicaid system transformation initiatives, such as patient-centered medical homes and accountable care initiatives; and
  • Financial incentives, including pay-for-performance and bonus payments beyond traditional reimbursement.

Information about individual state efforts to promote lead screening and treatment is available at the 50-State Scan of Lead Screening and Treatment Policies for Children and Pregnant Women.

Behavioral Health

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

Weight

State Medicaid or CHIP improvement projects, performance measures, or incentives for BMI screening, weight assessment, and counseling for nutrition and physical activity

Lead Screening

State Medicaid or CHIP improvement projects, performance measures, or incentives for lead screening

Immunizations

State Medicaid or CHIP improvement projects, performance measures, or incentives for child and adolescent immunizations, including HPV vaccination and DTap immunization

Oral Health

State Medicaid or CHIP improvement projects, performance measures, or incentives for primary care provider dental home referral, caries risk assessment, fluoride varnish provision, and annual dental visit

Well Child/Adolescent Care

State Medicaid or CHIP improvement projects, performance measures, or incentives for well-child visits in the first 15 months of life; well-child visits in the third, fourth, and fifth, and sixth years of life; and adolescent well visits

This project is supported by the Health Resources and Services Administration (HRSA) of the US Department of Health and Human Services (HHS) under the Supporting Maternal and Child Health Innovation in States Grant (Grant No. U1XMC31658; $398,953). This information or content and conclusions are those of the authors and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the US government.

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