The ABCD program works with pediatricians’ offices to ensure that all children receive appropriate developmental screenings and referrals. About 70% of children with disabilities are not identified before they enter school. Although primary care physicians have regular contact with the majority of young children, they face many barriers to offering regular developmental screening and referral services. The ABCD program offers training and technical assistance to physicians and their office staff . The North Carolina Partnership for Children, Inc., the organization that oversees Smart Start, has been piloting this program in select regions of the state for the past two years with funding from the Kate B. Reynolds Charitable Trust and Smart Start.