First Comprehensive Evaluation

Among children with ASD who were born in the same state as the ADDM
site (n = 4,147 of 5,473 confirmed cases), 42% had a comprehensive
evaluation on record by age 36 months (range: 30% [Arkansas] to 66%
[North Carolina]) (Table 4). Approximately 39% of these 4,147 children did
not have a comprehensive evaluation on record until after age 48 months;
however, mention of developmental concerns by age 36 months was
documented for 85% (range: 61% [Tennessee] to 94% [Arizona]).