South Dakota's Medicaid Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program has adopted the Bright Futures/American Academy of Pediatrics (AAP) Periodicity Schedule and screening recommendations for children and adolescents ages 20 and younger. South Dakota reports a very high rate of provider participation in Medicaid, which leads to more choices and access for families. Another program strength is that it extends EPSDT coverage to children enrolled in the state's Children's Health Insurance Program (CHIP).
South Dakota's 2016 Provider Manual
references the Bright Futures/AAP Periodicity Schedule recommendations, but includes a different schedule for the timing and frequency of early infancy preventive visits. Specifically, the Bright Futures/AAP Periodicity Schedule recommends a prenatal visit and well-child visits at birth, between 3 and 5 days, and by 1 month, whereas the state's schedule
recommends visits between 3 and 5 days and by 1 month.Implementation:
In 2014, South Dakota's quality performance rate for preventive dental visits was lower than the national average. Thus, that same year, South Dakota selected preventive dental visits as its one pediatric preventive care measure to focus on.
In 2015, South Dakota's Oral Health Coalition released the Oral Health Plan 2015-2020
to highlight the state's commitment to improve access to oral health and prevent oral disease. The plan presents 4 key areas to focus on—education and awareness, prevention, access, and innovation in best practices—and strategies to meet each objective by 2020. In addition, the Department of Health has focused on oral health education by providing various publications and reports on its Oral Health Program Web site
and by publishing infographics about the state's Oral Health System
and its pediatric dental health statistics