Screen Medicaid Members for Lead Exposure Before Their Second Birthday
AI Summary
Blue Cross Blue Shield of Texas requires blood lead screening for all Medicaid members at 12 and 24 months of age, with catch-up testing for children 24-72 months old who haven't been previously screened. This policy emphasizes proper documentation and coding of lead screening during well-child visits to meet federal requirements and quality measures.
Action Required
By May 21, 2026: Providers must ensure all Medicaid children receive blood lead screening at 12 and 24 months of age during well-child visits. Document screening results clearly in medical records and use appropriate CPT or ICD-10-CM codes on claims. Front desk staff should flag Medicaid children ages 24-72 months without prior screening records for catch-up testing. Billing team should verify proper coding for lead screening to ensure compliance with HEDIS quality measures.
Plan Types
Medicaid
States
TX
Specialties
pediatrics, family-medicine