Wyoming's Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Medicaid program has largely adopted the Bright Futures/American Academy of Pediatrics (AAP) Periodicity Schedule
and screening recommendations. One difference is that, although Wyoming's member handbook includes a chart that providers are encouraged to complete during well-child visits for 4 age groups, the age groups specified in the handbook differ from the ages suggested in the Bright Futures/AAP Periodicity Schedule. Implementation:
In 2014, Wyoming selected 10 out of 11 pediatric preventive care measures to focus on: child and adolescent access to primary care providers, well-child visits in the first 15 months, well-child visits between ages 3 and 6, adolescent well-child visits, adolescent immunization status, human papillomavirus (HPV) vaccination, chlamydia screening, body mass index (BMI) assessment, developmental screening in the first 3 years, and preventive dental visits. The only measure not selected by the state was childhood immunization status. For the most part, Wyoming's quality performance rates for these measures were lower than the national average, except with regard to adolescent immunization status. These measures closely align to the Bright Futures Preventive Services Quality Improvement Measures
Of the above-mentioned measures, Wyoming is greatly focusing on preventive dental care through several performance improvement projects. Wyoming's Medicaid program has partnered with the Wyoming Department of Health and an oral health coalition to improve access to dental preventive services for young children. They launched the Community Oral Health Coordinator Program in which dental hygienists perform oral health screenings for children between ages 6 months and 5 years living in counties at high risk for dental disease. The dental hygienists also assist with referrals to other dental services and provide fluoride treatment for children in day care settings and schools. Wyoming Medicaid has expanded its parent and provider education to encourage parents to take their children to their first dental visit once the child turns 1-year-old.