​Adaptation: Pennsylvania's Medicaid program has adopted the Bright Futures Guidelines as the standard of care in the state. The state's Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program is closely aligned to the Bright Futures/American Academy of Pediatrics (AAP) Periodicity Schedule and its screening recommendations. Pennsylvania's screening services and the intervals in which the screenings are performed are based on recommendations in the Bright Futures Guidelines.

Implementation: Pennsylvania has implemented the Bright Futures Guidelines by committing to improving oral health throughout the state. Initiatives have focused on increasing access to and use of routine pediatric dental care. Pennsylvania's EPSDT staff has collaborated with managed care organizations in the state to improve oral health among low-income children.

The state has prioritized 11 preventive care quality measures, which closely mirror the Bright Futures Preventive Services Quality Improvement Measures. These measures are childhood immunization status, immunization status for adolescents, human papillomavirus (HPV) vaccination for female adolescents, well-child visits in the first 15 months, well-child visits for children ages 3 to 6, adolescent well-child visits, preventive dental services, child and adolescent access to primary care providers, developmental screening in the first 3 years, body mass index assessment of children and adolescents, and chlamydia screening for women.