Bright Futures Health Assessment Visits for Individuals Under 21 Years  

Aug 25, 2023

Bright Futures Forms   

MaineCare has adopted the most recent version of the Bright Futures Guidelines for Health Supervision of Infants, Children and Adolescents of the American Academy of Pediatrics as the standard of care expected at health assessment visits for MaineCare members under the age of 21. There are nineteen (19) separate Bright Futures health assessment forms that delineate the age-specific guidelines for each required visit. When children need health assessments outside of the normal schedule, providers must use the age appropriate MaineCare Bright Futures health assessment form for the age closest to the child’s chronological age to document the visit.     

Follow Up Treatment  

The provider must initiate medically necessary follow-up treatment identified as needed during a health assessment visit, including, but not limited to, treatment for defects in vision, hearing, and dental care, at the earliest practical date commensurate with the needs of the child. Generally, this should happen within six months from the date of the health assessment visit.   

MaineCare will reimburse providers for one health assessment visit per member for each age shown on the MaineCare Bright Futures periodic health assessment schedule.     

Required Documentation 

Providers may meet these documentation requirements by retaining completed copies of the MaineCare Bright Futures health assessment forms in each child’s consolidated health record.     

 Questions?

Please contact Tia Bolduc, EPSDT Coordinator.