The state’s Medicaid agency developed a new well child care encounter form designed to promote standardization in the delivery of developmental services for low-income children during EPSDT visits and to enhance the state’s capacity to review patient records for quality.  The encounter forms (available from infancy through age 18) furnish guidance and information to both physicians and parents and address age-specific issues in development. They are free to pediatricians statewide, can be downloaded from the state’s Web site, and are available in seven languages.  For practitioners who serve children in foster care, use of the forms is required in order to claim a significantly enhanced fee for EPSDT exams.

This section contains resources for “Identifying Children and Families at Risk" developed by Washington State.

• Washington State Well Child Examination Forms
  Washington ABCD I Project. (2002) This resource is a link to the Washington State Well Child Examination Forms--standardized encounter and screening forms for all primary care providers to use during well child visits. The Well Child Exam Forms furnish guidance and information to both physicians and parents and addresses age-specific issues in development.
  Washington State Well Child Examination Forms

• Early Childhood Assessment Clinic
  Washington ABCD I Project. (Whatcom County Health Department) This letter was provided to parents whose children had been screened at the Early Childhood Assessment Clinic using the Ages and Stages Questionnaire. It outlines reelvant results and referral resource options.
  Early Childhood Assessment Clinic

• Ages and Stages Questionnaire (ASQ) Procedures
  Washington ABCD I Project. (Whatcom County Bright Futures, August 2002) This flowchart was used in ABCD pilots to assist in implementing and integrating the Ages and States Questionnaire (ASQ).
  Ages and Stages Questionnaire (ASQ) Procedures

• The Children’s Preventive Healthcare Initiative (CPHI)
  Washington ABCD I Project. (2007) The Children’s Preventive Healthcare Initiative (CPHI) was a two-year joint effort of Acumentra Health and Washington Medical Assistance Administration, in cooperation with five Washington health plans. These groups conducted a three-year initiative to increase preventive health care for children enrolled in Medicaid managed care programs. More information about this initiative is available at www.ompro.org/cphi. (From Web Overview)
  The Children’s Preventive Healthcare Initiative (CPHI)