Rhode Island'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 follows the Bright Futures/American Academy of Pediatrics (AAP) Periodicity Schedule and the pediatric screening recommendations in the Guidelines
. Rhode Island updated its EPSDT schedule
in 2015 and includes a recommendation to smoothly transition youth between ages 15 and 20 into adult services. As per the AAP Bright Futures Guidelines
, Rhode Island recommends specific standardized tools to screen for development, autism spectrum disorders, alcohol and drug use, and depression.Implementation
: In 2011, Rhode Island was awarded a federal grant from the U.S. Departments of Education and Health and Human Services to participate in the Race to the Top—Early Learning Challenge program. The program's mission was to expand and record developmental screening consistent with the Bright Futures/AAP Periodicity Schedule. This program was closely related to another initiative from the Rhode Island Department of Health—Watch Me Grow RI. This initiative increased screening for autism spectrum disorders among young children. In addition, the program provided technical assistance to child care centers and practices to implement regular developmental screening.
Rhode Island has a cross-departmental Early Learning Data System that incorporates developmental screening results into KIDSNET
, the state's confidential database on children's health. This system promotes sharing of appropriate health data to improve identification of children with special needs, track participation in early learning, and monitor children's development.
Through its initiatives, Rhode Island is committed to improving pediatric quality measures throughout the state. The quality measures are closely aligned to the Bright Futures Preventive Services Quality Improvement Measures
and include 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 between ages 3 and 6, adolescent well-child visits, preventive dental services, child and adolescent access to primary care providers, body mass index assessment of children and adolescents, and chlamydia screening for women.