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.

Who is at high risk for blood lead screenings?

All children under the age of 6 are considered to be at high risk for blood lead poisoning. Children less than 6 years old are especially at risk because their bodies are still developing and growing rapidly. Young children also tend to put their hand or other objects, that may be contaminated with lead dust, into their mouths.

Children living at or below the federal poverty level and those who live in order housing are at the greatest risk. Learn more about at-risk populations.

What are Michigan's guidelines for blood lead screenings? 

In accordance with guidelines from the Centers for Medicare and Medicaid Services (CMS), Michigan Medicaid policy requires that all Medicaid-enrolled children be tested for lead at 12 and 24 months of age, or between 36 and 72 months 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 MDHHS website for more information.

Register your in-office lead machines

Providers who are doing in-house lead testing using a LeadCare machine must register their lead testing machine. Learn more at

Lead poisoning screening incentive

The 2020 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.

For more information, review the manuals for the 2020 PIP Incentive Program and the 2020 CPC+ Incentive Program.

Your patients can also earn an incentive

Medicaid members can receive a $10 prepaid Visa® card for taking their child to get a free lead poisoning screening. Learn more and share information with your patients.

Childhood Lead Poisoning Prevention for Primary Care Providers course

The Michigan Department of Health and Human Services (MDHHS), in partnership with the Michigan Public Health Institute, has developed the Childhood Lead Poisoning and Prevention for Primary Care Providers course, which is now available to providers.

The course is designed to enhance professional awareness of childhood lead poisoning, increase blood lead testing rates for young children, educate on how to eliminate the sources of lead poisoning, and improve inter-agency collaboration and communication regarding resolution of this complex environmental health issue. There are several continuing education opportunities available for completing this course.

Learn more and access the course.