Hintz SR, et al. - Using the linked California Perinatal Quality of Care Collaborative and California Perinatal Quality of Care Collaborative–California Children's Services high-risk infant follow-up (HRIF) databases, researchers identified rates of at least 1 HRIF visit by a corrected age of 12 months, and factors correlated with successful first visit among very low birth weight (VLBW) infants in a statewide population-based setting. Of the 6,512 VLBW children referred to HRIF, a first visit was attended by 4938 (76%). Higher odds for first HRIF visit attendance was linked to older maternal age, lower birth weight, private insurance, a history of severe intracranial hemorrhage, 2 parents as primary caregivers, and higher HRIF program volume; and lower odds with maternal race African American or black, and greater distance to HRIF program. Maternal, sociodemographic, and home- and program-level disparities were related to HRIF non-attendance in a population-based California VLBW cohort. These findings underline the need to identify access and resource risk factors challenges in the neonatal intensive care unit during hospitalization, provide enhanced education on the benefits of HRIF, and create comprehensive neonatal intensive care unit-to-home transition approaches.