Montana's Medicaid program's Early and Periodic Screening, Diagnosis, and Treatment (EPSDT)
program has been adopted from the Bright Futures/American Academy of Pediatrics (AAP) Periodicity Schedule and the Bright Futures Guidelines
. The state's member guide is currently being updated to include a new well-child visit schedule that is aligned with Bright Futures, because Montana encourages pediatric providers to use the Bright Futures Guidelines
as a preventive visit tool from infancy to adolescence.Implementation:
In 2014, Montana selected 8 pediatric preventive care quality measures to improve within the state. These measures fall within the scope of the Bright Futures Preventive Services Quality Improvement Measures
. The 8 measures Montana is striving to improve are childhood immunization status, adolescent immunization status, human papillomavirus (HPV) vaccination for female adolescents, well-child visits in the first 15 months, well-child visits between ages 3 and 6, adolescent well-child visits, preventive dental services, and child and adolescent access to primary care providers.Partnerships:
In addition to focusing on the above-mentioned pediatric preventive care measures, Montana is committed to improving maternal and child health outcomes among Native American communities. The state has partnered with the March of Dimes in an initiative called Coming of the Blessing
, which includes prenatal education, training, and resources that incorporate traditional Native American beliefs in the circle of support during pregnancy. A resource called The Medicine Wheel was created to guide families through the experience of childbearing by incorporating traditional beliefs into an informational resource.