MedicaidDocumentationMedium impact
25-1276 Ensure Blood Level Screenings are Performed at Required Intervals to Remain Compliant
Health Net·CA · Pediatrics, Family Medicine·Provider News
We identified it
Jun 20, 2026
Summary
CalViva Health requires mandatory blood lead screenings for children at ages 1 and 2 years, plus anticipatory guidance documentation at every periodic health assessment. Providers must also obtain signed refusal statements if parents decline screening and follow specific requirements for refugees and high-risk children.
Action Required
Immediately: Billing team must ensure lead screening orders are documented for all children at ages 1 and 2 years, and verify anticipatory guidance counseling is documented at every periodic health assessment. Front desk staff should obtain signed voluntary refusal statements when parents decline screening. Providers must document all lead exposure counseling in medical records to maintain compliance.