MedicaidDocumentationHigh impact
25-1277 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
Healthcare providers must now perform mandatory blood lead screenings at ages 1 and 2, provide anticipatory guidance on lead exposure at every periodic health assessment, and document all counseling in medical records. This applies to Medi-Cal members in Imperial County and includes specific requirements for missed tests, refugees, and parental refusals.
Action Required
Immediately: Update EMR templates to include lead exposure counseling documentation at every periodic health assessment for children. Add mandatory blood lead screening orders at ages 1 and 2 years to pediatric workflows. Create reminder alerts for missed screenings in children under 6. Billing team must ensure proper documentation exists before submitting claims for periodic health assessments to avoid compliance issues.