IHCP reminds providers lead screening is required for
The Indiana Health Coverage Programs (IHCP), in collaboration
with the Indiana State Department of Health (ISDH), reminds
providers that screening for blood lead toxicity is a federal
requirement for all children enrolled in Medicaid.
The IHCP requires that all enrolled children receive a blood
lead screening test at 9 months, 12 months, and 24 months of age.
If the member is at high risk for lead exposure, the initial
screening should be performed at the 6-month visit. Children
between the ages of 36 months and 72 months of age must receive a
blood lead screening if they have not been previously tested for
The ISDH, through the Indiana
Lead and Healthy Homes Program (ILHHP), monitors lead
poisoning. Providers are required to report
all results of blood lead screenings to
the ISDH no later than one week after completing the examination.
The ILHHP provides medical and environmental case management
follow-up for those children who are identified with elevated
levels of lead in their blood.
IHCP coverage and billing
Prior authorization is not required for coverage of screening
services. Providers should see the
Early and Periodic Screening, Diagnosis, and Treatment
(EPSDT)/HealthWatch provider reference module for