California’s High Risk Infant Follow-up (HRIF) Program, run by the state's California Children’s Services (CCS) division, oversees outpatient “follow-up” of infants requiring additional developmental care after discharge from the NICU through local HRIF clinics. HRIF clinics provide follow-up care to all infants born before 32 weeks of gestation, or with a birth weight less than 1500 grams, as well infants with a range of neurologic and/or cardiovascular risk factors.
Infants who have spent time in the NICU are often at higher risk for behavioral, neurological, developmental, or growth challenges later in childhood. HRIF clinics ensure that these infants grow as expected after discharge and meet developmental milestones. HRIF clinics provide three or more assessment visits with CCS-approved doctors who follow the infant over the first three years of life and identify and treat existing and new issues as they arise.