WIC Developmental
Monitoring Project
— IMPACT — (Learn the Signs. Act Early.)

Learn the Signs. Act Early. (LTSAE) is an evidence-informed program developed by the Centers for Disease Control and Prevention (CDC) that aims to increase parent-engaged developmental monitoring of all children’s development and early action on possible concerns.


During year 1 and 2 of this project, ASPHN has provided support and funding for three states (AR, MA, and NV) to implement LTSAE’s WIC Developmental Monitoring Program into their WIC Clinics. ASPHN has also provided Technical Assistance to 7 additional states.  ASPHN was awarded with funding for year 3. During year 3 ASPHN is tasked with creating virtual options for the checklist program. This project equips WIC staff with tools and resources to help identify earlier and address the developmental concerns of the one in six children in the U.S. with a developmental disability.

States Participating in the Learn the Signs. Act Early. Program

The WIC Developmental Monitoring Project consists of 19 state WIC programs participating in year 3. All states from year 1 and 2 will be continuing in year 3 as well as 9 additional states. ASPHN is pleased to provide technical assistance and receive feedback on virtual options to the following states:

New States

  • Indiana
  • Montana
  • South Carolina
  • Texas
  • Puerto Rico
  • Oregon
  • Utah
  • Hawaii
  • Ohio


Returning States

  • Arkansas
  • Massachusetts
  • Nevada
  • Georgia
  • Iowa
  • Maine
  • New Hampshire
  • New Jersey
  • US Virgin Islands
  • Delaware

ASPHN has created an online learning module to introduce the Center for Disease Control and Prevention’s free resources that will enable WIC staff to engage and educate families about their children’s development. In the course, WIC staff will learn about developmental milestones, why monitoring children’s development is important, how to empower parents and how support families with referrals for screenings and other services.

Resources for State Teams

Upcoming Webinars

  • September 22, 2021
  • October 27, 2021
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