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MALPH Administrator’s Forum

MALPH Administrator’s Forum. Lead Billing Discussion September 11, 2014. Welcome and Overview. Thanks for joining in the dialogue today regarding billing for lead services through the LHD. Small Group of People have been Meeting To Explore Ways to Support Lead Services

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MALPH Administrator’s Forum

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  1. MALPHAdministrator’s Forum Lead Billing Discussion September 11, 2014

  2. Welcome and Overview Thanks for joining in the dialogue today regarding billing for lead services through the LHD. Small Group of People have been Meeting To Explore Ways to Support Lead Services A Recommendation was to Begin Talking with LHDs On How Best To Bill For Lead Services Tell US WHAT YOU WOULD LIKE TO LEARN/DISCUSS

  3. First: Lets Introduce You to the Panel • Brad Barron, Policy Analyst, Medicaid • Joan Dyer, Program Supervisor, KCHD • Gail Brink, Finance Director, KCHD • Deb Brinson, Consultant, MDCH

  4. State Perspective: 2012 Data MDCH Annual Report on Blood Levels of Children in Michigan 70% Overall Children get Tested in First Few Years 57% of Children Ages 1-2 with Medicaid or live in 1 of 14 Risk Communities Get Tested

  5. CDC Issued Change in Guidance In 2012 CDC New Recommendation: Lower its level from 10 to 5 micrograms In 2012 more than 5,500 MI children younger than 6 had blood levels between 5 and 9 with almost 5% of that group testing higher 5% or higher.

  6. Medicaid Perspective Brad Barron: • Why is it important to bill for lead services? • Billing Codes in MI Medicaid Manual

  7. Medicaid Codes for Health Departments CODES T1028EP: Home Environment Assessment Nursing Services (2) @ 75.90 per visit T1029: Initial Lead Investigation Home/Dwelling Environment Assessment EH Visit (2) @ $132.48 per visit T1029TS: Follow Up Lead Investigation Comprehensive Lead Investigation

  8. Local Sharing: Kent County • Outline of Services in Kent County • Billing Process within KCHD • Lead Services, Billing and Cost Settlement

  9. Wrap Up What Challenges are you LHD facing? What Supports are Needed to Bill for Lead Services? THANKS

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