Arkansas is one of only five states that does not reimburse health care providers for developmental or autism screenings through Medicaid. As a result, many infants and toddlers miss out on needed services. In a significant step forward, the Department of Human Services (DHS) recently began requiring pediatricians and family physicians to conduct development screenings at 9, 18, and 30 month well-child visits using either the Ages and Stages Questionnaire (ASQ) or the Brigance Inventory of Early Development. It also required autism screenings at 18 and 24 months using either the Modified Checklist for Autism in Toddlers (M-CHAT) or the Pervasive Developmental Disorders Screening TestsII (PDDSDT-II) Stage1. In coordination with Arkansas Medicaid, Arkansas Foundation for Medical Care will soon begin a quality improvement project focused on improving the use and documentation of these developmental screenings in primary care practices. To further ensure adoption of this requirement, DHS must now reimburse physicians for providing these services.