Provider Alerts

HEDIS Measure-(LSC)

Just Check the Box!

Description: Children covered by Medi-Cal are required by the Federal Centers for Medicare and Medicaid Services (CMS) to receive lead screening tests at:

• 12 months of age and 24 months of age
• Between 24 and 72 months with no record of a previous blood lead screening should receive at least one test.

All providers who perform periodic health screenings on members between the ages of six months to six years (i.e., 72 months) must comply with current federal and state laws, and industry guidelines for health care providers issued by the California Department of Public Health’s Childhood Lead Poisoning Prevention Branch (CLPPB).

Anticipatory Guidance

Medical record documentation must include- not optional:

• Oral or written anticipatory guidance to a parent or guardian of the child
• Information that children can be harmed by exposure to lead

Blood Lead Screening

All blood lead screening results should be clearly documented with date of service and screening results including any parent/guardian refusals.

If you have questions or need assistance, please call our Provider Services team at (209) 942-6340. You may also visit https://www.hpsj.com/alerts/ for online access to the documents shared. The most recent information about Health Plan of San Joaquin and our services is always available on our website https://www.hpsj.com/.