The Puerto Rico ABCD Screening Academy Project aims to increase the number of providers implementing developmental screening tests for children ages 0 to 5 years old. Puerto Rico will implement training sessions for providers and parents at pilot practice sites. Puerto Rico strives to improve state policy by enforcing the EPSDT handbook and reimbursing primary care providers for conducting a screen with a standardized tool. Puerto Rico will build upon the effort of the Puerto Rico-Early Childhood Comprehensive Systems (PR-ECCS) initiative.