EPSDT-required periodicity: EPSDT (Early and Periodic Screening, Diagnostic & Treatment Services require periodic screening services (unclothed physical examinations, comprehensive health and developmental history, appropriate immunizations, laboratory tests, and health education including anticipatory guidance as well as vision, dental, hearing, and other necessary health care services ( http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Benefits/Early-Periodic-Screening-Diagnosis-and-Treatment.html
States are required to develop their own EPSDT periodicity schedules after appropriate consultations, or may adopt a nationally recognized schedule, such as Bright Futures ( http://brightfutures.aap.org/pdfs/AAP%20Bright%20Futures%20Periodicity%20Sched%20101107.pdf
Bright Futures also provides tools for screening ( http://brightfutures.aap.org/tool_and_resource_kit.html
The optimal EHR system will facilitate compliance with Bright Futures or state-developed recommendations using prompts, based on currently due preventive services as well as previously missed services. For example, prompts should take into account missed immunizations or missed blood-lead testing. Screening is a core component of preventive care. Abnormal screening results require follow-up care and some services require periodic rescreening, even when the previous screen was normal.
EPSDT support by Bright Futures recommendations and periodicity: Bright Futures is often (but not always selected by states as a nationally recognized set of guidelines that satisfies EPSDT (Early and Periodic Screening, Diagnostic & Treatment requirements. Bright Futures encompasses all preventive care that children should receive, regardless of their insurance status. Although there are many Bright Futures recommendations ( http://brightfutures.aap.org
the Periodicity Schedule ( http://brightfutures.aap.org/clinical_practice.html
summarizes the minimum key services that should be provided at each preventive visit.