State Strategies for Promoting Children’s Preventive Services

Map and chart updated January 2019*
States can implement performance measurement, incentives, and improvement projects to promote children’s access to preventive services. These maps and chart illustrate state-specific Medicaid or CHIP performance improvement initiatives that promote children’s preventive services, including those recommended by the American Academy of Pediatrics’ Bright Futures guidelines. This series highlights:

•  Managed or accountable care performance improvement projects;
•  Managed care performance measures;
•  Metrics or incentives in statewide Medicaid system transformation (e.g., patient-centered medical homes and accountable care initiatives); and
•  Other financial incentives, including pay for performance and bonus payments beyond traditional reimbursement; and non-financial incentives.

The six categories of preventive services explore behavioral health screenings, weight assessment, lead screening, immunizations, preventive oral health services, and well-child visits.
50-State Scan of Lead Screening and Treatment Policies for Children and Pregnant Women, detailing state health care delivery policies that promote lead screening and treatment is now available.
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.
Acronym Key

Screen Shot 2016-08-08 at 10.49.23 AM 

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

Copyright © 2019, by The National Academy for State Health Policy. All rights reserved. May not be published or otherwise distributed without explicit permission | Privacy Policy | Terms Of Use