State Strategies to Promote Children’s Preventive Services
Map and chart updated March 2020*
States implement a variety of performance measurement, incentive, and improvement programs to promote children’s access to preventive services.
These maps and chart illustrate state-specific Medicaid or Children’s Health Insurance Program initiatives that promote children’s preventive services, including those recommended by the American Academy of Pediatrics’ Bright Futures guidelines. These resources highlight:
- Managed care performance improvement projects and measures;
- Metrics or incentives used by statewide Medicaid system transformation initiatives, such as patient-centered medical homes and accountable care initiatives; and
- Financial incentives, including pay-for-performance and bonus payments beyond traditional reimbursement.
State Medicaid or CHIP improvement projects, performance measures, or incentives for autism screening, behavioral/social-emotional screening, and adolescent depression, tobacco or substance use screening
This project is supported by the Health Resources and Services Administration (HRSA) of the US Department of Health and Human Services (HHS) under the Supporting Maternal and Child Health Innovation in States Grant (Grant No. U1XMC31658; $398,953). This information or content and conclusions are those of the authors and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the US government.
For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 
