Mandatory blood lead testing for children covered under Medicaid and WIC

Blood lead surveillance and screening (testing) is a component of a well-child visit. All children should be screened for blood lead risk and be tested as indicated.

All Medicaid-enrolled children are considered to be at high risk for blood lead poisoning. In accordance with the Centers for Medicare and Medicaid Services (CMS) guidelines, Michigan Medicaid policy requires that all Medicaid-enrolled children be blood lead tested at 12 and 24 months of age, or between 36 and 72 months of age if not previously tested.

Michigan law (Public Act 286 of 2006) also requires that all children participating in the Supplemental Food Program for Women, Infants, and Children (WIC) be tested for blood lead.

Visit the MDHHA website for additional information about Lead Screening and the Medicaid Policy. 

Register in-office lead machines

Blood lead results must be reported electronically to the Childhood Lead Poisoning Prevention Program (CLPPP), part of the Michigan Department of Health and Human Services (MDHSS). If you haven't already done so, register your lead testing machine with MDHHS to make this a seamless process. Once your office is registered and reporting, test results received by MDHHS will be linked with Medicaid and MCIR databases. 

Lead poisoning screening incentives

The 2018 PCP Incentive Program and CPC+ Incentive Program offer an incentive for capillary or venous blood screening for lead poisoning in children. Blood testing must be completed on or before a child's second birthday. Participating practice groups receive a payout of up to $15 per measured member. 

For more information, see the manuals for the 2018 CPC+ Incentive Program or PCP Incentive Program